Individual
DR. JENNY REBECCA SUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
775 PARK AVE, SUITE 155, HUNTINGTON, NY 11743-3976
(631) 424-2587
(631) 424-8088
Mailing address
2 SHERIDAN ST, HUNTINGTON, NY 11743-6256
(631) 424-2587
(631) 424-8088
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
015590
NY
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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