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SUSAN ADDIS PHD PA NPI 1790150977


NPI Information

NPI: 1790150977
Provider Name: SUSAN ADDIS PHD PA
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
10359 ORANGEWOOD BLVD
ORLANDO, FL
ZIP 32821
Phone: (352) 870-5302
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SUSAN ADDIS PHD PA is a professional counselor in Orlando, FL. SUSAN ADDIS PHD PA NPI is 1790150977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10359 ORANGEWOOD BLVD
ORLANDO, FL
ZIP 32821-239
Phone: (352) 870-5302

The provider's authorized official is Susan Addis .
The authorized official title is President and has the following contact phone number (352) 870-5302.

The enumeration date for this NPI number is 12/14/2015 and was last updated on 12/14/2015.


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
1101YP2500XCounselorProfessionalPY 5626FLORIDAYes

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: 11/14/2023

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.