Provider Demographics
NPI:1902982119
Name:CAVE, SUSAN B (PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:B
Last Name:CAVE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2213 BROTHERS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505
Mailing Address - Country:US
Mailing Address - Phone:505-988-7616
Mailing Address - Fax:505-988-5592
Practice Address - Street 1:2213 BROTHERS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505
Practice Address - Country:US
Practice Address - Phone:505-988-7616
Practice Address - Fax:505-988-5592
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM249103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM11808OtherPRESBYTERIAN
NMN9089Medicaid
NMN990OtherBLUE CROSS BLUE SHIELD