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Individual

SUSANNE FINE

Active
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Individual

SUSANNE FINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., RN, CNS

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1546
OR
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
200870007CNS-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
#1546
PSYCHOLOGIST
OR
01
200870007CNS-PP
CLINICAL NURSE PRACTTIONER/ARNP
OR
Enumeration date
12/06/2005
Last updated
01/09/2013
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