Davis-Susser, Shirley Ann
Davis-Susser, Shirley Ann is an individual health care provider with primary practice located at 48 Loockerman Ave , Poughkeepsie NY 12601-5011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis-Susser, Shirley Ann can be contacted via phone (845) 471-8645.Contact Information
Primary practice address
48 Loockerman Ave
Poughkeepsie NY 12601-5011
Phone: (845) 471-8645
Fax: (845) 471-7820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 010347 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 010347-1 | New York |
Profile Details
| NPI number | 1134189459 |
|---|---|
| LBN Legal business name | Davis-Susser, Shirley Ann |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134189459 | NPPES |
| New York | Other | 6800096 | GHI PIN# |
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