Provider Demographics
NPI:1457521759
Name:MULLARKEY, SUEANN MARGARET (LMHC)
Entity type:Individual
Prefix:MS
First Name:SUEANN
Middle Name:MARGARET
Last Name:MULLARKEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-2224
Mailing Address - Country:US
Mailing Address - Phone:518-752-4160
Mailing Address - Fax:518-752-4160
Practice Address - Street 1:30 6TH AVE
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-2224
Practice Address - Country:US
Practice Address - Phone:518-752-4160
Practice Address - Fax:518-752-4160
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002857-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health