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General NPI Number Information
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NPI Number | 1023215043
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Entity Type | Individual
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Provider Name | LYNN SUSSMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 16 ROCKLEDGE AVE APT 3C1
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City | OSSINING
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State | NY
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Zip | 10562-6514
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Country | US
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Telephone | 203-517-8816
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ROCKLEDGE AVE APT 3C1
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City | OSSINING
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State | NY
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Zip | 10562-6514
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Country | US
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Telephone | 203-517-8816
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 016020
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 002767
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License Number State | CT
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