Sussman, Barry

Sussman, Barry is an sole proprietor health care provider with primary practice located at 1021 Oakridge D , Deerfield Beach FL 33442-1958. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sussman, Barry can be contacted via phone (561) 376-4299.

Contact Information

Primary practice address
1021 Oakridge D Deerfield Beach FL 33442-1958
Phone: (561) 376-4299
Fax: (561) 431-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY4977 Florida
Behavioral Health & Social Service Providers / Family 103TF0000X PY4977 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY4977 Florida

Profile Details

NPI number 1568646123
LBN Legal business name Sussman, Barry
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Apr 25th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568646123 NPPES
Florida Other 59454A MEDICARE PTAN

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