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NPI Code Detail

MEDICARE: MRS. SUSANNE DROTT SMITH

MEDICARE: MRS. SUSANNE DROTT SMITH
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
1101YP2500XProfessional Counselor2018013673MO

General Provider Information

NPI Number : 1043711005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSANNE DROTT SMITH
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 255 SPENCER RD STE 101
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-2574
Country : US
Telephone Number : 636-477-8290
Fax Number : 636-939-2551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2018
Last Update Date : 03/25/2026

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Directions to “ MRS. SUSANNE DROTT SMITH ” Practice Location

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