MEDICARE: SUZANNE MARSON

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
1	106H00000X	Marriage & Family Therapist	MFC31694	CA

General Provider Information

NPI Number	:	1487038014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE MARSON

Provider Business Mailing Address
First Line	:	200 N BROADWAY
Second Line	:	SUITE D
City	:	TURLOCK
State	:	CA
Zip	:	95380-4744
Country	:	US
Telephone Number	:	209-485-1022
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N BROADWAY
Second Line	:	SUITE D
City	:	TURLOCK
State	:	CA
Zip	:	95380-4744
Country	:	US
Telephone Number	:	209-485-1022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	07/14/2015

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Directions to “ SUZANNE MARSON ” Practice Location

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