Tate, Susan Ray

Tate, Susan Ray is an individual health care provider with primary practice located at 3350 La Jolla Village Dr # 116B , San Diego CA 92161-0002. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Tate, Susan Ray can be contacted via phone (858) 552-8585.

Contact Information

Primary practice address
3350 La Jolla Village Dr # 116B San Diego CA 92161-0002
Phone: (858) 552-8585
Fax: (858) 642-3557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 17625 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 17625 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 17625 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 17625 California

Profile Details

NPI number 1184705261
LBN Legal business name Tate, Susan Ray
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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