Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNY REBECCA SUSSER, PH.D.
Active Sole ProprietorDR. JENNY REBECCA SUSSER, PH.D. is a Exercise & Sports Psychologist healthcare provider located in HUNTINGTON, New York. NPI 1346369923 is currently active in the NPPES registry. Verify at CMS.
Exercise & Sports Psychologist · HUNTINGTON, NY
Registration Details
- NPI Number
- 1346369923
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2007 (19.412116691214 yrs)
- Last Updated
- Jul 8, 2007
- License
-
015590 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
775 PARK AVESUITE 155HUNTINGTON, NY, 117433976Browse NY providers · Browse ZIP 11743
- Phone
- 6314242587
- Fax
- 6314248088
- Primary Specialty
-
Exercise & Sports Psychologist
103TE1100X
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.