Individual
DR. SUSAN C CECERE
Active
Individual
DR. SUSAN C CECERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1673
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228681
MAMSI
MD
01
—
G366
BCBS
MD
01
—
T3580001
BCBS
MD
Enumeration date
03/12/2007
Last updated
07/08/2007
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