Individual
JOSHUA SUSSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0065597
MD
2084P0802X
Addiction Psychiatry Physician
19693
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4125850 01
—
MD
Enumeration date
05/09/2007
Last updated
05/28/2024
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