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NPI Code Detail

MEDICARE: MS. SUZANNE BERNDT LICENSED PROFESSIONA

MEDICARE:  MS. SUZANNE  BERNDT  LICENSED PROFESSIONA
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 CounselorLPC0015313CO
2101YP2500XProfessional CounselorLPC17681AZ

General Provider Information

NPI Number : 1144887449
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUZANNE BERNDT LICENSED PROFESSIONA
Provider Business Mailing Address
First Line : 4545 N 36TH ST STE 211
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-3474
Country : US
Telephone Number : 480-490-6680
Fax Number :
Provider Business Practice Location Address
First Line : 4545 N 36TH ST STE 211
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-3474
Country : US
Telephone Number : 480-490-6680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 09/15/2024

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Directions to “ MS. SUZANNE BERNDT LICENSED PROFESSIONA” Practice Location

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