SUE E. SHRADERMFT NPI 1205082831

NPI Information

  • NPI: 1205082831
  • Provider Name: SUE E. SHRADER,MFT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4445 EASTGATE MALL
    SAN DIEGO, CA
    ZIP 92121
  • Phone: (858) 337-5291

Map and Directions

Get Directions

NPI Details

SUE E. SHRADER,MFT is a mental health counselor in San Diego, CA. SUE E. SHRADER,MFT NPI is 1205082831. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4445 EASTGATE MALL
SAN DIEGO, CA
ZIP 92121-979
Phone: (858) 337-5291
Fax: (619) 269-5091

The provider's authorized official is Sue E Hanes .
The authorized official title is Sue E. Shrader, Mft and has the following contact phone number (858) 337-5291.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 8/20/2008.

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
1101YM0800XCounselorMental HealthMFC30118CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI