Provider Demographics
NPI:1285440123
Name:SHEFFIELD, SUSANNE MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:SUSANNE
Middle Name:MARIE
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 HOMAN CT
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-7316
Mailing Address - Country:US
Mailing Address - Phone:714-333-6616
Mailing Address - Fax:
Practice Address - Street 1:6804 HOMAN CT
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-7316
Practice Address - Country:US
Practice Address - Phone:714-333-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151729106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist