Provider Demographics
NPI:1497888754
Name:B. SUE EPSTEIN PHD PC
Entity Type:Organization
Organization Name:B. SUE EPSTEIN PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:B SUE EPSTEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-273-1844
Mailing Address - Street 1:57 UNION PL
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2568
Mailing Address - Country:US
Mailing Address - Phone:908-273-1844
Mailing Address - Fax:646-833-7735
Practice Address - Street 1:57 UNION PL
Practice Address - Street 2:SUITE 212
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2568
Practice Address - Country:US
Practice Address - Phone:908-273-1844
Practice Address - Fax:646-833-7735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ02242103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty