Doctor Name: | DR. SUZANNE ELAINE WOLFE |
NPI Number: | 1164750808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | 6301008065 |
Business Practice Address: | 319 Park St Plainwell, MI - 490801655 |
Business Phone Number: | 2696859401 |
Business Fax Number: | |
Mailing Address: | Po Box 280, PLAINWELL |
State: | MI |
Postal Code: | 490800280 |
Phone Number: | 2696643055 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2009 |
NPI Last Update Date: | 11/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301008065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |