Provider Demographics
NPI:1285791525
Name:RING, SUSAN (PHD)
Entity type:Individual
Prefix:MISS
First Name:SUSAN
Middle Name:
Last Name:RING
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 1:250 W. 1ST STREET
Mailing Address - Street 2:#314
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711
Mailing Address - Country:US
Mailing Address - Phone:909-374-5852
Mailing Address - Fax:909-624-8326
Practice Address - Street 1:250 W. 1ST ST.
Practice Address - Street 2:#314
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711
Practice Address - Country:US
Practice Address - Phone:909-374-5852
Practice Address - Fax:909-624-8326
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19956103T00000X
CAPSY#19956103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist