Susan L Jungen
Addiction Psychologist (Substance Use Disorder)
300 Crooks Street
Green Bay
, Wisconsin 54305-2308
Susan L Jungen
Addiction Psychologist (Substance Use Disorder)
300 Crooks Street
Green Bay
, Wisconsin 54305-2308
(920) 432-5966
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Susan L Jungen
- 300 Crooks Street Po Box 22308
- Green Bay, WI
- Zip : 54305-2308
- Fax : (920) 432-5966
- Phone : (920) 436-6800
Second Address
- Susan L Jungen
- 300 Crooks Street
- Green Bay, WI
- Zip : 54305-2308
- Fax : (920) 432-5966
- Phone : (920) 436-6800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | WI |
National Provider Identifier
| NPI | 1194811034 |
|---|---|
| Provider Name | Susan L Jungen |
| First Address | Green Bay, WI 54305-2308 |
| Second Address | Green Bay, WI 54305-2308 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 39314500 | (05) | WI |
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.