Doctor Name: | DR. SUZANNE M DUGGER |
NPI Number: | 1780033894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D., LPC |
License Number: | 265853 |
Business Practice Address: | 850 Insight Park Suite 163a University, MS - 38677 |
Business Phone Number: | 6629157197 |
Business Fax Number: | 6629151363 |
Mailing Address: | 850 Insight Park, Suite 163a UNIVERSITY |
State: | MS |
Postal Code: | 38677 |
Phone Number: | 6629158821 |
Fax Number: | 6629151363 |
NPI Enumeration Date: | 06/09/2016 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 265853 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |