Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 35SI00404800 | NJ |
NPI | 1063509529 |
---|---|
Provider Name | Dr. Susanne K Struebing |
First Address | Clinton, NJ 08809-1357 |
Second Address | Flemington, NJ 08822-1679 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 06/01/2021 |