Susskind, Fay

Susskind, Fay is an sole proprietor health care provider with primary practice located at 3 Fairfield Ave Second Floor, West Caldwell NJ 07006-7629. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Susskind, Fay can be contacted via phone (973) 228-9008.

Contact Information

Primary practice address
3 Fairfield Ave Second Floor West Caldwell NJ 07006-7629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SC00766900 New Jersey

Profile Details

NPI number 1730308107
LBN Legal business name Susskind, Fay
Credentials PSY.D., M.S., LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730308107 NPPES
Other CAQH#11690655 CREDENTIALING SERVICE

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