Provider Demographics
NPI:1972328755
Name:SCHLINDWEIN, SUSAN ANN
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:ANN
Last Name:SCHLINDWEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 E EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-3272
Mailing Address - Country:US
Mailing Address - Phone:401-499-4826
Mailing Address - Fax:
Practice Address - Street 1:1266 E EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-3272
Practice Address - Country:US
Practice Address - Phone:401-499-4826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor