DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. LANA N. SUSSKIND-WILDER PSY.D.

MEDICARE: DR. LANA N. SUSSKIND-WILDER 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
1103G00000XClinical Neuropsychologist3842AZ
2103T00000XPsychologist3842AZ
3103TA0700XAdult Development & Aging Psychologist3842AZ
4103TC0700XClinical Psychologist3842AZ
5103TB0200XCognitive & Behavioral Psychologist3842AZ
6103TF0200XForensic Psychologist3842AZ
7103TP2701XGroup Psychotherapy Psychologist3842AZ
8103TR0400XRehabilitation Psychologist3842AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Z60229OTHERAZMEDICARE GROUP PIN

General Provider Information

NPI Number : 1376618520
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANA N. SUSSKIND-WILDER PSY.D.
Provider Business Mailing Address
First Line : 7323 N 12TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-8023
Country : US
Telephone Number : 602-410-9011
Fax Number : 480-922-5569
Provider Business Practice Location Address
First Line : 9832 N HAYDEN RD
Second Line : SUITE 106
City : SCOTTSDALE
State : AZ
Zip : 85258-1298
Country : US
Telephone Number : 480-945-3475
Fax Number : 480-922-5569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 01/14/2008

Similar Medicare Providers

1396802369 — DR. KEVIN P O'BRIEN PH.D.
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-945-3475
Practice Fax: 480-922-5569
1326193707 — LISA GALPER PSY. D.
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-315-9311
Practice Fax: 480-922-5569
1194850248 — DR. DAVID RALPH ENGSTROM PH.D.
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-443-3332
Practice Fax: 480-922-5569
1609906932 — ARIZONA NEUROPSYCHOLOGY PC
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-945-3475
Practice Fax: 480-922-5569
1336335488 — JAY D SUMMERS, PHD, PLLC
Practice Location Address:
9832 N HAYDEN RD , SUITE 16
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-945-3475
Practice Fax:
1407000664 — PAMELA BETH SOLEM-WESER MC
Practice Location Address:
9832 N HAYDEN RD , SUITE 106
SCOTTSDALE, AZ
85258-1298
Practice Phone: 480-529-5934
Practice Fax:

Directions to “ DR. LANA N. SUSSKIND-WILDER PSY.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.