DR. SUSANN ELIZABETH AMBORN


Address: 1020 Corporation Way, Suite 201, Palo Alto, CA 94303
Phone: 6509621719

DR. SUSANN ELIZABETH AMBORN (NPI# 1528192895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528192895
Entity Type Individual
Full Name DR. SUSANN ELIZABETH AMBORN
Other Name DR. SUSANN ELIZABETH WOODS
Credential PHD
Practice Address 1020 Corporation Way
Suite 201
Palo Alto
CA 94303
Mailing Address 770 Coleman Ave
#k
Menlo Park
CA 94025
Practice Telephone 6509621719
Mailing Telephone 6503221943
Enumeration Date 2007-03-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 17127 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1020 CORPORATION WAY
SUITE 201
City PALO ALTO
State CA
Zip Code 94303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184017428 Jana Jensen Emerson Marriage & Family Therapist 1020 Corporation Way, Palo Alto, CA 94303-4328 2015-03-11
1225433501 Tiferes Medical Group Clinic/Center 1020 Corporation Way, Suite 207, Palo Alto, CA 94303-4328 2014-10-29

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255941753 Mindy Penzias Dirks Psychologist 635 Bryant St # 7, Palo Alto, CA 94301-2502 2020-08-09
1306492236 Johnna Leigh Medina Psychologist 401 Quarry Rd # Mc5718, Palo Alto, CA 94304-1419 2019-08-15
1962973321 Hannah Leslie Weisman Psychologist 248 Homer Ave, Palo Alto, CA 94301-2722 2018-12-11
1235606401 Karen E Otte Psychologist 550 Hamilton Ave Ste 240, Palo Alto, CA 94301-2044 2018-10-25
1124594114 John Paul Rettger Psychologist 407 California Ave Ste 10, Palo Alto, CA 94306-1861 2018-10-17
1801361068 Teresa Yeong-yi Pan Psychologist 3801 Miranda Avenue (116b), Palo Alto, CA 93404 2018-10-03
1992294920 Kile Malcolm Ortigo Psychologist 415 Cambridge Ave Ste 8, Palo Alto, CA 94306-1608 2018-05-04
1003335936 Yelena Blank Psychologist 3801 Miranda Ave # 116f, Palo Alto, CA 94304-1207 2017-09-12
1043735970 Megan Elizabeth Kelly Psychologist 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 2017-08-11
1790145092 Eval Gal-oz Psychologist 415 Cambridge Ave Ste 3, Palo Alto, CA 94306-1608 2016-02-29
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Competitor

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City PALO ALTO
Zip Code 94303

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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