Lana N. Susskind-Wilder in Phoenix - Adult Development & Aging

Lana N. Susskind-Wilder - NPI 1376618520

Lana N. Susskind-Wilder is a Adult Development & Aging in Phoenix, Arizona. Lana N. Susskind-Wilder practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Lana N. Susskind-Wilder is 1376618520. The last update date is 2008-01-14.

Lana N. Susskind-Wilder's current location address is 7323 N 12th Ave, Phoenix, Arizona. You can contact this provider via phone number 6024109011 and fax number 4809225569. The mailing address for Lana N. Susskind-Wilder is 7323 N 12th Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Lana N. Susskind-Wilder
Address 7323 N 12th Ave, Phoenix, Arizona
Phone Number 6024109011
Fax Number 4809225569
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1376618520
Provider Enumeration Date 2006-11-22
Last Updated Date 2008-01-14

Provider Mailing Address Detail

Address 7323 N 12th Ave
City Phoenix
State Arizona (AZ)
Post Code 850218023
Phone Number 6024109011
Fax Number 4809225569

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 3842
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z60229 AZ MEDICARE GROUP PIN

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FAQs about Lana N. Susskind-Wilder

What is the Lana N. Susskind-Wilder's 1376618520?

The Lana N. Susskind-Wilder's NPI (National Provider Identifier) Number is 1376618520. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lana N. Susskind-Wilder located?

The Lana N. Susskind-Wilder is located at 7323 N 12Th Ave, Phoenix, AZ 850218023.

What is Lana N. Susskind-Wilder's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lana N. Susskind-Wilder is Adult Development & Aging, and the taxonomy code that categorizes this field of expertise is 103Ta0700X.

When did Lana N. Susskind-Wilder receive its 1376618520 assignment?

The Lana N. Susskind-Wilder was assigned its 1376618520 on 2006-11-22, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Lana N. Susskind-Wilder last refreshed?

The information related to the Lana N. Susskind-Wilder, including its address, specialty, and other relevant details, was last updated on 2008-01-14.

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