Healthcare Provider Details

I. General information

NPI: 1598695926
Provider Name (Legal Business Name): ANDREW SUTH PHD AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CAMINO AGUAJITO STE 205
MONTEREY CA
93940-3372
US

IV. Provider business mailing address

200 CAMINO AGUAJITO STE 205
MONTEREY CA
93940-3372
US

V. Phone/Fax

Practice location:
  • Phone: 831-233-1121
  • Fax: 831-288-1627
Mailing address:
  • Phone: 831-233-1121
  • Fax: 831-288-1627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW BLAKE SUTH
Title or Position: PRESIDENT
Credential: PHD
Phone: 773-718-0364