National Provider Identifier
Susan Lynn Wiser, PH.D.
Susan Lynn Wiser, PH.D. is listed in the NPPES registry with a primary specialty of Psychologist in Ithaca, NY and a listed phone number of (607) 279-3916.
Profile Overview
- NPI
- 1376604512
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- December 12, 2006
- Last Updated
- May 06, 2024
Practice Location
- 121 W Court St
- Ithaca, NY 14850-4105
Phone: (607) 279-3916
Mailing Address
- 301 Assembly Dr Unit 596
- Montreat, NC 28757-8031
Specialties
- Psychologist (103T00000X)
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1376604512
- Entity Type
- Individual
- Last Name
- Wiser
- First Name
- Susan
- Middle Name
- Lynn
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 301 Assembly Dr Unit 596
- Mailing City
- Montreat
- Mailing State
- NC
- Mailing ZIP Code
- 28757-8031
- Mailing Country
- US
- Mailing Phone
- (607) 279-3916
- Practice Street Address
- 121 W Court St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4105
- Practice Country
- US
- Practice Phone
- (607) 279-3916
- Enumeration Date
- December 12, 2006
- Last Updated
- May 06, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X), Clinical Psychologist (103TC0700X)