Dr. Lana N. Susskind-Wilder
Psychologist Clinical Psychologist Forensic Psychologist Group Psychotherapist and 4 more
9832 N Hayden Rd Suite 106
Scottsdale
, Arizona 85258-1298
Dr. Lana N. Susskind-Wilder
Psychologist Clinical Psychologist Forensic Psychologist Group Psychotherapist and 4 more
9832 N Hayden Rd Suite 106
Scottsdale
, Arizona 85258-1298
(480) 922-5569
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Forensic Psychologist
- Group Psychotherapist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Lana N. Susskind-Wilder
- 7323 N 12th Ave
- Phoenix, AZ
- Zip : 85021-8023
- Fax : (480) 922-5569
- Phone : (602) 410-9011
Second Address
- Dr. Lana N. Susskind-Wilder
- 9832 N Hayden Rd Suite 106
- Scottsdale, AZ
- Zip : 85258-1298
- Fax : (480) 922-5569
- Phone : (480) 945-3475
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 3842 | AZ |
| Y | 103TC0700X | Clinical Psychologist | 3842 | AZ |
| N | 102L00000X | Psychologist | 3842 | AZ |
| N | 103T00000X | Psychologist | 3842 | AZ |
| N | 103TA0700X | Adult Development & Aging Psychologist | 3842 | AZ |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 3842 | AZ |
| N | 103G00000X | Clinical Psychologist | 3842 | AZ |
| N | 103TC0700X | Clinical Psychologist | 3842 | AZ |
| N | 103TF0200X | Forensic Psychologist | 3842 | AZ |
| N | 103TP2701X | Group Psychotherapist | 3842 | AZ |
| N | 103TR0400X | Rehabilitation Psychologist | 3842 | AZ |
National Provider Identifier
| NPI | 1376618520 |
|---|---|
| Provider Name | Dr. Lana N. Susskind-Wilder |
| First Address | Phoenix, AZ 85021-8023 |
| Second Address | Scottsdale, AZ 85258-1298 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 14/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Z60229 | MEDICARE GROUP PIN (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.