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NPI Code Detail

MEDICARE: SUSAN J. FAULKNER PSY.D.

MEDICARE:   SUSAN J. FAULKNER  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist014519-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740226927
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN J. FAULKNER PSY.D.
Provider Business Mailing Address
First Line : 307 HAMILTON ST
Second Line :
City : ALBANY
State : NY
Zip : 12210-1707
Country : US
Telephone Number : 518-449-1255
Fax Number : 518-449-1255
Provider Business Practice Location Address
First Line : 307 HAMILTON ST
Second Line :
City : ALBANY
State : NY
Zip : 12210-1707
Country : US
Telephone Number : 518-449-1255
Fax Number : 518-449-1255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 07/08/2007

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Directions to “ SUSAN J. FAULKNER PSY.D.” Practice Location

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