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ERIC SUDDEATH MA LPC NPI 1700302007


NPI Information

NPI: 1700302007
Provider Name: ERIC SUDDEATH, MA, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
304 ENTERPRISE DR
OXFORD, MS
ZIP 38655
Phone: (662) 371-1711
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Eric Suddeath, MA, LPC is a counselor in Oxford, MS. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Eric Suddeath, MA, LPC NPI is 1700302007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

304 ENTERPRISE DR
OXFORD, MS
ZIP 38655-762
Phone: (662) 371-1711

The enumeration date for this NPI number is 8/17/2017 and was last updated on 8/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor2201MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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