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Organization

ZACHARY SUSSMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZACHARY WROE SUSSMAN PH.D. (PEDIATRIC NEUROPSYCHOLOGIST)
(303) 564-8684
Entity
Organization

Contact information

Practice address
2501 WALNUT ST STE 104, BOULDER, CO 80302-5752
(303) 564-8684
(303) 443-4682
Mailing address
2501 WALNUT ST STE 104, BOULDER, CO 80302-5752
(303) 564-8684
(303) 443-4682

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0004443
CO

Other

Enumeration date
09/22/2016
Last updated
09/22/2016
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