SUZANNA MARIE WISE PHD NPI 1134721178

NPI Information

NPI: 1134721178
Provider Name: SUZANNA MARIE WISE, PHD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3101 BLACK PARTRIDGE LN APT 2
VALPARAISO, IN
ZIP 46383
Phone: (240) 441-1127
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Suzanna Marie Wise, PHD is a professional counselor in Valparaiso, IN. Suzanna Marie Wise, PHD NPI is 1134721178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3101 BLACK PARTRIDGE LN APT 2
VALPARAISO, IN
ZIP 46383-038
Phone: (240) 441-1127

The enumeration date for this NPI number is 11/13/2020 and was last updated on 11/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	178010569	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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