Mark, Susanna

Mark, Susanna is an individual health care provider with primary practice located at 39400 Paseo Padre Pkwy Kaiser Permanente Psychiatry, Fremont CA 94538-2310. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mark, Susanna can be contacted via phone (510) 248-3060.

Contact Information

Primary practice address
39400 Paseo Padre Pkwy Kaiser Permanente Psychiatry Fremont CA 94538-2310
Phone: (510) 248-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17432 California

Profile Details

NPI number 1740343920
LBN Legal business name Mark, Susanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 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.

Request for update

Popular Providers