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SUSANNE FINE PSY.D. RN CNS NPI 1720062490


NPI Information

NPI: 1720062490
Provider Name: SUSANNE FINE, PSY.D., RN, CNS
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
1117 E MAIN ST
MEDFORD, OR
ZIP 97504
Phone: (541) 245-1123
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Susanne Fine, PSY.D., RN, CNS is a clinical psychologist in Medford, OR. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Susanne Fine, PSY.D., RN, CNS NPI is 1720062490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1117 E MAIN ST
MEDFORD, OR
ZIP 97504-404
Phone: (541) 245-1123

The enumeration date for this NPI number is 12/6/2005 and was last updated on 1/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult200870007CNS-PPOREGONNo
2103TC0700XPsychologistClinical1546OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203321773OTHEROREGONEIN#
2#1546OTHEROREGONPSYCHOLOGIST
3200870007CNS-PPOTHEROREGONCLINICAL NURSE PRACTTIONER/ARNP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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