Provider Demographics
NPI:1982749107
Name:SUSAN MCCARTHY FURMAN, PH.D., LLC
Entity Type:Organization
Organization Name:SUSAN MCCARTHY FURMAN, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:MCCARTHY
Authorized Official - Last Name:FURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-992-0705
Mailing Address - Street 1:805 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1870
Mailing Address - Country:US
Mailing Address - Phone:404-992-0705
Mailing Address - Fax:404-377-6798
Practice Address - Street 1:805 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1870
Practice Address - Country:US
Practice Address - Phone:404-992-0705
Practice Address - Fax:404-377-6798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY001568103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA348376OtherVALUE OPTIONS CHEVRON
GA52060625OtherBCBSGA
NYA348376OtherVALUE OPTIONS CHEVRON
GA68BBGPRMedicare ID - Type UnspecifiedMEDICARE PART B GA