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Individual

MRS. SUSANNE E BILLETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MDIV, NCPSYA

Contact information

Practice address
1014 BIRCH ST, BOONTON, NJ 07005-1404
(718) 986-6566
Mailing address
1014 BIRCH ST, BOONTON, NJ 07005-1404
(718) 986-6566

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
P000846
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00244720
NY
Enumeration date
11/17/2008
Last updated
03/10/2024
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