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Individual

DR. BARRY SUSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1021 OAKRIDGE D, DEERFIELD BEACH, FL 33442-1958
(561) 376-4299
(561) 431-5939
Mailing address
1021 OAKRIDGE D, DEERFIELD BEACH, FL 33442-1958
(561) 376-4299
(561) 431-5939

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY4977
FL
103TC0700X
Clinical Psychologist
Primary
PY4977
FL
103TF0000X
Family Psychologist
PY4977
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59454A
MEDICARE PTAN
FL
Enumeration date
12/19/2007
Last updated
04/25/2020
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