Healthcare Provider Details

I. General information

NPI: 1922910470
Provider Name (Legal Business Name): MISS SUZETTE D LOHR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1479 ROUTE 539
LITTLE EGG HARBOR TWP NJ
08087-9609
US

IV. Provider business mailing address

575 PIRATE LN
MANAHAWKIN NJ
08050-5229
US

V. Phone/Fax

Practice location:
  • Phone: 732-349-5550
  • Fax:
Mailing address:
  • Phone: 609-339-5871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06699000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: