| Doctor Name: | SUZANNE DRON GAZZOLO |
| NPI Number: | 1033361878 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 37PC00315400 |
| Business Practice Address: | 627 11th St Suite 201 Wilmette, IL - 600912788 |
| Business Phone Number: | 8472800564 |
| Business Fax Number: | |
| Mailing Address: | 905 Greenwood Ave, WILMETTE |
| State: | IL |
| Postal Code: | 600911751 |
| Phone Number: | 8472563664 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2008 |
| NPI Last Update Date: | 10/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00315400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |