Provider Information for 1932250602
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. SUZETTE ELIZABETH CARNAHAN LCSW
Sex: Female
NPI: 1932250602
Last Updated: 2016-06-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932250602 | ||||||||
| Enumeration Date | 2007-01-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 405 PINE ST STE 15 JAMESTOWN, NY 14701-5313 United States Phone: 716-640-5316 | Fax: | ||||||||
| Primary Practice Address | 12809 W MAIN STREET RD RANDOLPH, NY 14772-9613 United States Phone: 716-640-5316 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|