Doctor Name: | DR. LANEE SUSANN RIVERS |
NPI Number: | 1760536767 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | VI-06-022-PSY |
Business Practice Address: | 9048 Sugar Estate Schneider Regional Medical Center St. Thomas, VI - 00802 |
Business Phone Number: | 3407768311 |
Business Fax Number: | |
Mailing Address: | Po Box 307194, ST THOMAS |
State: | VI |
Postal Code: | 008037194 |
Phone Number: | 3407152415 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | VI-06-022-PSY |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |