Individual provider · Type 1 NPI
Lynda Sussman, PHD CLINICAL PSYCHOL
Psychologist · Fairfield, CA
Practice location
1652 Texas St, Suite 236
Fairfield, CA 94533-6066
Mailing address
1828 Union Street
Alameda, CA 94501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY17987 (CA) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY17987 (CA) |
| Group Psychotherapy Psychologist | 103TP2701X | PSY17987 (CA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1447454905
Lynda Sussman, PHD CLINICAL PSYCHOL's National Provider Identifier is 1447454905, issued on Jun 11, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fairfield, CA. The record was last updated on Jun 2, 2008.