Dr Gary Michael Sussman Ii, PSYD is a
Psychologist - Clinical based in Fort Mcpherson, Georgia. Dr Gary Michael Sussman Ii is licensed to practice in North Carolina (license number 2985) and his current practice location is
1701 Hardee Ave Sw, Fort Mcpherson, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 464-3562.
NPI number for Dr Gary Michael Sussman Ii is 1669461646 and his current mailing address is 7624 Forest Glen Way, Lithia Springs, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669461646.
Healthcare Provider's Profile
Full Name | Dr Gary Michael Sussman Ii |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1701 Hardee Ave Sw, Fort Mcpherson, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669461646
- Provider Enumeration Date: 10/21/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gary Michael Sussman Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669461646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2985 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary Michael Sussman Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gary Michael Sussman Ii, PSYD 7624 Forest Glen Way, Lithia Springs, GA 30122-6867 Ph: (678) 945-6636 | Dr Gary Michael Sussman Ii, PSYD 1701 Hardee Ave Sw, Fort Mcpherson, GA 30330-1062 Ph: (404) 464-3562 |
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