Individual
DR. KENNETH ROBERT SUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
G9 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3338
(732) 238-9400
Mailing address
G9 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3338
(732) 238-9400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00138800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051465
VALUE OPTIONS
—
01
—
08488 57 H
GHI
—
Enumeration date
01/02/2007
Last updated
07/15/2007
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