Fessenden, Suzanne
Fessenden, Suzanne is an individual health care provider with primary practice located at 17 Prospect St , Huntington NY 11743-3317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fessenden, Suzanne can be contacted via phone (631) 673-3226.Contact Information
Primary practice address
17 Prospect St
Huntington NY 11743-3317
Phone: (631) 673-3226
Fax: (631) 673-3028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 014123 | New York |
Profile Details
| NPI number | 1659398584 |
|---|---|
| LBN Legal business name | Fessenden, Suzanne |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1659398584 | NPPES |
| Other | 6883291 | GHI | |
| Other | P2524066 | GHI | |
| Other | V119V | GHI | |
| Other | 7931185 | GHI |
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