Wilde, Susanna
Wilde, Susanna is an individual health care provider with primary practice located at 2215 Burdett Ave Behavioral Health Dept, Troy NY 12180. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wilde, Susanna can be contacted via phone (518) 271-3300.Contact Information
Primary practice address
2215 Burdett Ave Behavioral Health Dept
Troy NY 12180
Phone: (518) 271-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 013092 | New York |
Profile Details
| NPI number | 1568570901 |
|---|---|
| LBN Legal business name | Wilde, Susanna |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Sep 28th, 2018 - about 8 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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