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NPI Code Detail

MEDICARE: SUZANNE HEMEDA LAC

MEDICARE: SUZANNE HEMEDA LAC
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
1101YM0800XMental Health Counselor37AC00929900NJ

General Provider Information

NPI Number : 1548126543
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE HEMEDA LAC
Provider Business Mailing Address
First Line : 605 GROVE ST APT A7
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-3861
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 605 GROVE ST APT A7
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-3861
Country : US
Telephone Number : 201-696-6753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2026
Last Update Date : 01/02/2026

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Directions to “ SUZANNE HEMEDA LAC” Practice Location

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