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NPI Code Detail

MEDICARE: SUETTE HAYNES

MEDICARE: SUETTE HAYNES
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
1106H00000XMarriage & Family Therapist111190CA

General Provider Information

NPI Number : 1083037535
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUETTE HAYNES
Provider Business Mailing Address
First Line : 1603A S MAIN ST
Second Line :
City : MILPITAS
State : CA
Zip : 95035-6261
Country : US
Telephone Number : 408-842-2468
Fax Number :
Provider Business Practice Location Address
First Line : 1603A S MAIN ST
Second Line :
City : MILPITAS
State : CA
Zip : 95035-6261
Country : US
Telephone Number : 408-842-2468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2014
Last Update Date : 06/27/2019

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Directions to “ SUETTE HAYNES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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