Individual
MRS. DIANA SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7626 E NORTHLAND DR, SCOTTSDALE, AZ 85251-1517
(480) 947-4540
Mailing address
7626 E NORTHLAND DR, SCOTTSDALE, AZ 85251-1517
(480) 947-4540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW10572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026766
VMC BEHAVIORAL HEALTHCARE
AZ
01
—
352118
MANAGED HEALTH NETWORK
AZ
01
—
7707637
AETNA
AZ
Enumeration date
07/17/2006
Last updated
01/03/2008
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