SUSAN ADDIS PHD PA
NPI 1790150977
Counselor - Professional in Orlando, FL
Active since December 14, 2015
About Susan Addis Phd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ADDIS PHD PA (NPI 1790150977) is a healthcare organization registered as a professional in Orlando, Florida and active in the NPI registry since December 2015. The organization lists Susan Addis, President, as its authorized official.
NPPES Registry Identity
NPI1790150977
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSUSAN ADDIS PHD PA
Location Address10359 ORANGEWOOD BLVDOrlando, FL 32821-8239
Mailing Address12653 Arley DrWindermere, FL 34786-6620 · (352) 870-5302
Phone(352) 870-5302
Organization SubpartNo
Authorized OfficialSusan AddisPresident · (352) 870-5302
Enumeration DateDecember 14, 2015
✔ NPI 1790150977 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in FL · PY 5626
10359 ORANGEWOOD BLVD, Orlando, FL 32821
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790150977, enumerated as an "organization" on December 14, 2015.
The provider is located at 10359 ORANGEWOOD BLVD ORLANDO, FL 32821 and the phone number is (352) 870-5302.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
