Doctor Name: | DR. SUZANNE MULCAHY JAMES |
NPI Number: | 1255353728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PS016198 |
Business Practice Address: | 495 Erlanger Rd Suite 204 Erlanger, KY - 410181468 |
Business Phone Number: | 8593426444 |
Business Fax Number: | 8593420999 |
Mailing Address: | 6185 Mapleridge Dr, TAYLOR MILL |
State: | KY |
Postal Code: | 410154407 |
Phone Number: | 5024726140 |
Fax Number: | 8593420999 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS016198 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |