SUSAN G MATTICE LPC NPI 1104452002

NPI Information

NPI: 1104452002
Provider Name: SUSAN G MATTICE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1030 CAMPBELL AVE
KALAMAZOO, MI
ZIP 49006
Phone: (269) 806-8345
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Susan G Mattice, LPC is a professional counselor in Kalamazoo, MI. Susan G Mattice, LPC NPI is 1104452002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1030 CAMPBELL AVE
KALAMAZOO, MI
ZIP 49006-082
Phone: (269) 806-8345

The enumeration date for this NPI number is 3/23/2020 and was last updated on 3/23/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401005581	MICHIGAN	Yes

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

NPI Synchronization or Removal

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