Provider Demographics
NPI:1285967703
Name:CARTER, SUZANNE M (MS, CGC)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:CARTER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 SLOCUM AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2222
Mailing Address - Country:US
Mailing Address - Phone:201-816-3593
Mailing Address - Fax:201-816-3593
Practice Address - Street 1:166 SLOCUM AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2222
Practice Address - Country:US
Practice Address - Phone:201-816-3593
Practice Address - Fax:201-816-3593
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS