Provider Demographics
NPI:1154702454
Name:SUESKIND, BARRIE (MA)
Entity type:Individual
Prefix:
First Name:BARRIE
Middle Name:
Last Name:SUESKIND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8425 W 3RD ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4126
Mailing Address - Country:US
Mailing Address - Phone:424-781-7168
Mailing Address - Fax:
Practice Address - Street 1:8425 W 3RD ST
Practice Address - Street 2:SUITE 309
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4126
Practice Address - Country:US
Practice Address - Phone:424-781-7168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist