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Individual

SUSIE TUSHINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5781
Mailing address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15165300
NJ

Other

Enumeration date
08/16/2022
Last updated
11/07/2024
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