Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSONNE ANNETTE URSIN, M.D.
ActiveSUSONNE ANNETTE URSIN, M.D. is a Geriatric Psychiatry healthcare provider located in SHREVEPORT, Louisiana. NPI 1700803608 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychiatry · SHREVEPORT, LA
Registration Details
- NPI Number
- 1700803608
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2006 (20.097209732096 yrs)
- Last Updated
- Jul 31, 2009
- License
-
013853 (LA)
Practice Information
- Address
-
1501 KINGS HWYDEPARTMENT OF PEDIATRICS, SECTION OF GENETICSSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186756076
- Fax
- 3186756059
- Primary Specialty
-
Geriatric Psychiatry
207SG0201X
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.