Susan A O'Hara is a Psychologist in Chattanooga, Tennessee. Susan A O'Hara practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan A O'Hara is 1114079100. The last update date is 2007-07-09.
Susan A O'Hara's current location address is 4066 Hixson Pike, Chattanooga, Tennessee. You can contact this provider via phone number 4238705650 and fax number 4238705638. The mailing address for Susan A O'Hara is 4066 Hixson Pike, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan A O'Hara |
|---|---|
| Address | 4066 Hixson Pike, Chattanooga, Tennessee |
| Phone Number | 4238705650 |
| Fax Number | 4238705638 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1114079100 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4066 Hixson Pike |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374153110 |
| Phone Number | 4238705650 |
| Fax Number | 4238705638 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P01104 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3689079 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan A O'Hara by the Centers for Medicare & Medicaid Services?
The Susan A O'Hara has been assigned the NPI (National Provider Identifier) 1114079100 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Susan A O'Hara is physically located?
The Susan A O'Hara is situated at the following address: 4066 Hixson Pike, Chattanooga, TN 374153110.
What is the Susan A O'Hara's specialty and taxonomy code?
The Susan A O'Hara's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114079100 to Susan A O'Hara?
The Centers for Medicare & Medicaid Services originally issued the 1114079100 to Susan A O'Hara on 2007-01-18.
As of what date were the details pertaining to Susan A O'Hara last refreshed?
The information related to the Susan A O'Hara, including its address, specialty, and other relevant details, was last updated on 2007-07-09.