Jenny Rebecca Susser in Huntington - Exercise & Sports

Jenny Rebecca Susser - NPI 1346369923

Jenny Rebecca Susser is a Exercise & Sports in Huntington, New York. Jenny Rebecca Susser practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Jenny Rebecca Susser is 1346369923. The last update date is 2007-07-08.

Jenny Rebecca Susser's current location address is 2 Sheridan St, Huntington, New York. You can contact this provider via phone number 6314242587 and fax number 6314248088. The mailing address for Jenny Rebecca Susser is 2 Sheridan St, Huntington, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenny Rebecca Susser
Address 2 Sheridan St, Huntington, New York
Phone Number 6314242587
Fax Number 6314248088
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1346369923
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2 Sheridan St
City Huntington
State New York (NY)
Post Code 117436256
Phone Number 6314242587
Fax Number 6314248088

Provider's Primary Taxonomy Detail

Speciality Exercise & Sports
Taxonomy 103Te1100X
Licence No 15590
Definition:
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi

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FAQs about Jenny Rebecca Susser

What is the unique identifier code issued to Jenny Rebecca Susser by the Centers for Medicare & Medicaid Services?

The Jenny Rebecca Susser has been assigned the NPI (National Provider Identifier) 1346369923. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jenny Rebecca Susser's facilities are situated?

The facilities of Jenny Rebecca Susser are physically located at the following address: 2 Sheridan St, Huntington, NY, 117436256.

What is Jenny Rebecca Susser's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jenny Rebecca Susser is Exercise & Sports, and the taxonomy classification code that categorizes this area of expertise is 103Te1100X.

On what date did the Centers for Medicare & Medicaid Services assign the 1346369923 to Jenny Rebecca Susser?

The Centers for Medicare & Medicaid Services assigned the 1346369923 to Jenny Rebecca Susser on 2007-03-28.

As of what date was the information regarding Jenny Rebecca Susser, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jenny Rebecca Susser, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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