| Doctor Name: | SUZANNE H HETRICK |
| NPI Number: | 1225095805 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 338 |
| Business Practice Address: | 4833 Darrow Road Suite 101 Stow, OH - 442241411 |
| Business Phone Number: | 3306505338 |
| Business Fax Number: | 3303423837 |
| Mailing Address: | 4833 Darrow Road Suite 101, STOW |
| State: | OH |
| Postal Code: | 442241411 |
| Phone Number: | 3306505338 |
| Fax Number: | 3303423837 |
| NPI Enumeration Date: | 04/27/2006 |
| NPI Last Update Date: | 12/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 338 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |