Basic Information
| Provider Information | |||||||||
| NPI: | 1386899003 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SUZANNE M. JAMES, PSY.D., LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 495 ERLANGER RD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | ERLANGER | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410181468 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593426444 | ||||||||
| FaxNumber: | 8593420999 | ||||||||
| Practice Location | |||||||||
| Address1: | 495 ERLANGER RD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | ERLANGER | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410181468 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593426444 | ||||||||
| FaxNumber: | 8593420999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2008 | ||||||||
| LastUpdateDate: | 11/21/2008 | ||||||||
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| AuthorizedOfficialLastName: | JAMES | ||||||||
| AuthorizedOfficialFirstName: | SUZANNE | ||||||||
| AuthorizedOfficialMiddleName: | MULCAHY | ||||||||
| AuthorizedOfficialTitleorPosition: | LICENSED PSYCHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 8593426444 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PSY.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 1419 | KY | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.