Individual
MR. JOSHUA MICHAEL SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., M.ED.
Contact information
Practice address
1440 BROADWAY STE 610, OAKLAND, CA 94612-2026
(510) 628-9065
Mailing address
4511 TOLMAN HALL, BERKELEY, CA 94720
(415) 320-1579
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
07/27/2013
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