Dr. Bradley D Sussner, PHD
Psychologist, Clinical in Lyons, New Jersey
1740294529- Practice location
- 151 Knollcroft RD Bldg 143 # 116A, Lyons, NJ 07939-5001
- Phone
- 908-647-0108
- Fax
- 908-604-5253
- Last updated
- July 8, 2007
Bradley David Sussner is a Psychologist, Clinical based in Lyons, NJ. Bradley David Sussner practices in Lyons, NJ and has the professional credentials of PHD. The NPI Number for Bradley David Sussner is 1740294529 and holds a License No. 35S100412600 (NJ). The current practice location address for Bradley David Sussner is 151 Knollcroft RD Bldg 143 # 116A, Lyons, NJ 07939-5001 and can be reached out via phone at 908-647-0108 and via fax at 908-604-5253.
Provider Profile Details
- NPI Number
- 1740294529
- Provider Name
- Bradley David Sussner
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 151 Knollcroft RD Bldg 143 # 116A, Lyons, NJ 07939-5001
- Phone Number
- 908-647-0108
- Fax Number
- 908-604-5253
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 28, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Knollcroft RD Bldg 143 # 116A
Lyons, NJ 07939-5001 - City
- Lyons
- State
- New Jersey
- Zip
- 07939-5001
- Phone Number
- 908-647-0108
- Fax Number
- 908-604-5253
Provider Business Mailing Address Details
- Address
- 8 Washington Ave
Warren, NJ 07059-5726 - City
- Warren
- State
- NJ
- Zip
- 07059-5726
- Phone Number
- 908-561-0431
License Information
- License Number (1)
- 35S100412600
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (2)
- 015455
- License State (2)
- NY
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Bradley D Sussner, PHD?
The NPI number of Dr. Bradley D Sussner, PHD is 1740294529. It was assigned on July 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Bradley D Sussner, PHD?
Dr. Bradley D Sussner, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S100412600.
Where does Dr. Bradley D Sussner, PHD practice?
The practice location is 151 Knollcroft RD Bldg 143 # 116A, Lyons, NJ 07939-5001. The office can be reached at 908-647-0108 (phone) or 908-604-5253 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740294529 directly on the NPPES registry website.