Provider Demographics
NPI:1306977350
Name:DUPEE, SUZANNE MAREE (MD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:MAREE
Last Name:DUPEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 10131
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90295-6131
Mailing Address - Country:US
Mailing Address - Phone:310-335-1288
Mailing Address - Fax:866-341-8679
Practice Address - Street 1:1148 MANHATTAN AVE STE 9
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-5348
Practice Address - Country:US
Practice Address - Phone:310-335-1288
Practice Address - Fax:866-341-8679
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA636722084P0804X, 2084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry