Individual provider · Type 1 NPI

Susan Ilene Taub, PhD

Psychologist · Johnson City, TN

NPI number 1780660431 Active

Practice location

1604 E Oakland Ave
Johnson City, TN 37601-2151

Fax (423) 926-5455

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XP0000001182 (TN)

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 1780660431

Susan Ilene Taub, PhD's National Provider Identifier is 1780660431, issued on Dec 15, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Johnson City, TN. The record was last updated on Jul 13, 2026.