Provider Demographics
NPI:1386798387
Name:FELZER, SUSAN (PSYD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:FELZER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13805 GINKGO TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5430
Mailing Address - Country:US
Mailing Address - Phone:301-309-8801
Mailing Address - Fax:
Practice Address - Street 1:10000 FALLS RD
Practice Address - Street 2:SUITE 208
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4103
Practice Address - Country:US
Practice Address - Phone:301-983-5103
Practice Address - Fax:301-983-6234
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD027052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry