DR. Gary Michael Sussman, PSY.D.

NPI #1669461646 in Goose Creek, South Carolina

Provider Information

NPI Number: 1669461646
Entity Type: Individual
Name: DR. Gary Michael Sussman, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Oct 21, 2005
Last Updated: Jun 6, 2024

Practice Location

Address: 110 NNPTC CIR
City: Goose Creek
State: South Carolina
ZIP Code: 29445-6314
Phone: (843) 794-6450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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