Doctor Name: | DR. SUZANNE M. LOFTUS |
NPI Number: | 1912061920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 35S100320600 |
Business Practice Address: | 185 State Route 183 Stanhope, NJ - 078742646 |
Business Phone Number: | 9734261640 |
Business Fax Number: | 9734261641 |
Mailing Address: | 7 Valley View Rd, LONG VALLEY |
State: | NJ |
Postal Code: | 078533132 |
Phone Number: | 9734261640 |
Fax Number: | 9734261641 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35S100320600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |