Healthcare Provider Details

I. General information

NPI: 1639590144
Provider Name (Legal Business Name): SUZANNE MARIE GATTUSO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2013
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1378 HENDERSONVILLE RD SUITE F
ASHEVILLE NC
28803-1957
US

IV. Provider business mailing address

1378 HENDERSONVILLE RD STE F
ASHEVILLE NC
28803-1900
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-5281
  • Fax: 828-277-5284
Mailing address:
  • Phone: 828-280-3458
  • Fax: 828-277-5284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1983
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: