Provider Demographics
NPI:1932287851
Name:FURMAN, SUSAN MCCARTHY (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:MCCARTHY
Last Name:FURMAN
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 1:108 E PONCE DE LEON AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2512
Mailing Address - Country:US
Mailing Address - Phone:404-992-0705
Mailing Address - Fax:770-628-7228
Practice Address - Street 1:108 E PONCE DE LEON AVE STE 208
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2512
Practice Address - Country:US
Practice Address - Phone:404-992-0705
Practice Address - Fax:770-628-7228
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY001568103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAQ52577Medicare UPIN
GA68BBGPRMedicare ID - Type UnspecifiedMEDICARE PART B