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NPI Code Detail

MEDICARE: MS. SUZANNE PEKOW CARLSON

MEDICARE: MS. SUZANNE PEKOW CARLSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1891624557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUZANNE PEKOW CARLSON
Provider Business Mailing Address
First Line : 17 NORSE PINES DR
Second Line :
City : E SANDWICH
State : MA
Zip : 02537-1086
Country : US
Telephone Number : 612-559-1219
Fax Number :
Provider Business Practice Location Address
First Line : 259A NORTH ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3823
Country : US
Telephone Number : 508-862-0514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ MS. SUZANNE PEKOW CARLSON ” Practice Location

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