Provider Demographics
NPI:1922105873
Name:TURNER, SUSAN FELICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:FELICE
Last Name:TURNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 SUGARLOAF MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-2501
Mailing Address - Country:US
Mailing Address - Phone:917-447-5172
Mailing Address - Fax:
Practice Address - Street 1:280 SUGARLOAF MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-2501
Practice Address - Country:US
Practice Address - Phone:917-447-5172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018200103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical