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Susan Ilene Taub, PHD
Psychologist in Johnson City, Tennessee
NPI 1780660431

Susan Ilene Taub is a Psychologist based in Johnson City, TN. Susan Ilene Taub practices in Johnson City, TN and has the professional credentials of PHD. The NPI Number for Susan Ilene Taub is 1780660431 and holds a License No. P0000001182 (Tennessee).

The current practice location address for Susan Ilene Taub is 1604 E Oakland Ave, Johnson City, TN and can be reached out via phone at 423-928-2222 and via fax at 423-926-5455.

Location: 1604 E Oakland Ave, Johnson City, TN, 37601-2151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780660431
Provider Name
Susan Ilene Taub
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1604 E Oakland Ave, Johnson City, TN, 37601-2151
Phone Number
423-928-2222
Fax Number
423-926-5455
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005354369 01 AETNA
82899 01 BCBS
3689675 05 SD
014511 01 VALUE OPTIONS
3689675 01 CIGNA BH
institution
Provider Business Practice Location Address Details
Address
1604 E Oakland Ave
City
Johnson City
State
Tennessee
Zip
37601-2151
Phone Number
423-928-2222
Fax Number
423-926-5455
person
Provider Business Mailing Address Details
Address
1604 E Oakland Ave
City
Johnson City
State
Tennessee
Zip
37601-2151
Phone Number
423-928-2222
Fax Number
423-926-5455
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
P0000001182 (Tennessee)
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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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