Lana N. Susskind-Wilder in Phoenix - Group Psychotherapy
Lana N. Susskind-Wilder - NPI 1376618520
Lana N. Susskind-Wilder is a Group Psychotherapy in Phoenix, Arizona. Lana N. Susskind-Wilder practices all healthcare services and medical treatments related to Group Psychotherapy. 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 |
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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 |
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Provider Enumeration Date | 2006-11-22 |
Last Updated Date | 2008-01-14 |
Provider Mailing Address Detail
Address | 7323 N 12th Ave |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850218023 |
Phone Number | 6024109011 |
Fax Number | 4809225569 |
Provider's Primary Taxonomy Detail
Speciality | Group Psychotherapy |
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Taxonomy | 103Tp2701X |
Licence No | 3842 |
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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Z60229 | AZ | MEDICARE GROUP PIN |
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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 Group Psychotherapy, and the taxonomy code that categorizes this field of expertise is 103Tp2701X.
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.