Provider Demographics
NPI:1285907741
Name:TOBEY, SUZANNE CHERYL (LMSW)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:CHERYL
Last Name:TOBEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:CHERYL
Other - Last Name:TOBEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48462-0285
Mailing Address - Country:US
Mailing Address - Phone:248-343-2882
Mailing Address - Fax:
Practice Address - Street 1:1038 GRANGER RD
Practice Address - Street 2:
Practice Address - City:ORTONVILLE
Practice Address - State:MI
Practice Address - Zip Code:48462-9297
Practice Address - Country:US
Practice Address - Phone:248-343-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010867021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical