Individual
DR. GARY MICHAEL SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-6450
Mailing address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-6450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2985
NC
Other
Enumeration date
10/21/2005
Last updated
06/06/2024
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