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NPI Code Detail

MEDICARE: DR. SUZANNE FAUST PH.D.

MEDICARE:  DR. SUZANNE  FAUST  PH.D.
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 Therapist0105NV

General Provider Information

NPI Number : 1376718668
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZANNE FAUST PH.D.
Provider Business Mailing Address
First Line : 6787 W TROPICANA AVE
Second Line : SUITE 272
City : LAS VEGAS
State : NV
Zip : 89103-4757
Country : US
Telephone Number : 702-362-0003
Fax Number : 702-988-5344
Provider Business Practice Location Address
First Line : 6787 W TROPICANA AVE
Second Line : SUITE 272
City : LAS VEGAS
State : NV
Zip : 89103-4757
Country : US
Telephone Number : 702-362-0003
Fax Number : 702-988-5344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2008
Last Update Date : 03/07/2016

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Directions to “ DR. SUZANNE FAUST PH.D.” Practice Location

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