Sussman, Jed M

Sussman, Jed M is an individual health care provider with primary practice located at 4466 Black Ave Ste H, Pleasanton CA 94566. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Sussman, Jed M can be contacted via phone (925) 600-8199.

Contact Information

Primary practice address
4466 Black Ave Ste H Pleasanton CA 94566
Phone: (925) 600-8199
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY7553 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY7553 California

Profile Details

NPI number 1912965476
LBN Legal business name Sussman, Jed M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
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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