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NPI Code Detail

MEDICARE: MRS. SUSAN F. SHIFLETT LPC

MEDICARE: MRS. SUSAN F. SHIFLETT LPC
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 Counselor0701003715VA

General Provider Information

NPI Number : 1477747657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN F. SHIFLETT LPC
Provider Business Mailing Address
First Line : 6851 COURTHOUSE RD
Second Line : SUITE 300
City : CHESTERFIELD
State : VA
Zip : 23832-5308
Country : US
Telephone Number : 804-715-3215
Fax Number : 804-715-3233
Provider Business Practice Location Address
First Line : 6851 COURTHOUSE RD
Second Line : SUITE 300
City : CHESTERFIELD
State : VA
Zip : 23832-5308
Country : US
Telephone Number : 804-715-3215
Fax Number : 804-715-3233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2007
Last Update Date : 08/30/2007

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