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Individual
DR. SUZANNE FESSENDEN
Active
Individual
DR. SUZANNE FESSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014123
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6883291
GHI
—
01
—
7931185
AETNA
—
01
—
P2524066
OXFORD
—
01
—
V119V
EMPIRE BC/BS
NY
Enumeration date
07/16/2006
Last updated
07/08/2007
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