Individual
JED M SUSSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4466 BLACK AVE, STE H, PLEASANTON, CA 94566
(925) 600-8199
Mailing address
PO BOX 942, PLEASANTON, CA 94566
(925) 600-8199
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY7553
CA
103T00000X
Psychologist
PSY7553
CA
Other
Enumeration date
05/03/2006
Last updated
09/11/2025
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