Provider Demographics
NPI:1386899003
Name:SUZANNE M. JAMES, PSY.D., LLC
Entity type:Organization
Organization Name:SUZANNE M. JAMES, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:MULCAHY
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:859-342-6444
Mailing Address - Street 1:495 ERLANGER RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1468
Mailing Address - Country:US
Mailing Address - Phone:859-342-6444
Mailing Address - Fax:859-342-0999
Practice Address - Street 1:495 ERLANGER RD
Practice Address - Street 2:SUITE 204
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1468
Practice Address - Country:US
Practice Address - Phone:859-342-6444
Practice Address - Fax:859-342-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1419103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty