Provider Demographics
NPI:1366762049
Name:TARIOT SHEARD, SUZANNE R (DO)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:R
Last Name:TARIOT SHEARD
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2700 N CENTRAL AVE
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1133
Mailing Address - Country:US
Mailing Address - Phone:602-285-4369
Mailing Address - Fax:
Practice Address - Street 1:1465 W CHANDLER BLVD
Practice Address - Street 2:BUILDING A
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6237
Practice Address - Country:US
Practice Address - Phone:480-786-8200
Practice Address - Fax:480-857-3005
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZR17862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry