Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN GINSBERG PETAK, PHD
Active Sole ProprietorDR. SUSAN GINSBERG PETAK, PHD is a Clinical Psychologist healthcare provider located in TENAFLY, New Jersey. NPI 1184088270 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TENAFLY, NJ
Registration Details
- NPI Number
- 1184088270
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2016 (10.398913529934 yrs)
- Last Updated
- Apr 5, 2016
- License
-
68 021572 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 CHURCHILL RDTENAFLY, NJ, 076703120Browse NJ providers · Browse ZIP 07670
- Phone
- 6464184592
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in TENAFLY, NJ
| Name | Credential | NPI |
|---|---|---|
| THOMAS HUGH GOLDEN | PH.D. | 1881897858 |
| DR. JENNIFER FINE MCDERMUT | PH.D. | 1194962688 |
| DVORA FREUND | PSY.D | 1821339631 |
| DR. CELINA KRAVIC | PH.D. | 1124805817 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.