MS. SUSAN JOAN LODGE MFT NPI 1376735506

NPI Information

NPI: 1376735506
Provider Name: MS. SUSAN JOAN LODGE, MFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2221 LIANE LN
SANTA ANA, CA
ZIP 92705
Phone: (714) 227-2439
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MS. Susan Joan Lodge, MFT is a mental health counselor in Santa Ana, CA. MS. Susan Joan Lodge, MFT NPI is 1376735506. 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:

2221 LIANE LN
SANTA ANA, CA
ZIP 92705-394
Phone: (714) 227-2439

The enumeration date for this NPI number is 8/12/2007 and was last updated on 8/12/2007.

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	101YM0800X	Counselor	Mental Health	MVO23094	CALIFORNIA	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: 5/5/2024

NPI Synchronization or Removal

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