Provider Demographics
NPI:1033471883
Name:MERCATANTE, SUSAN ANN (MS SPEC ED)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ANN
Last Name:MERCATANTE
Suffix:
Gender:F
Credentials:MS SPEC ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2B BOYCE RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4329
Mailing Address - Country:US
Mailing Address - Phone:203-791-8878
Mailing Address - Fax:203-791-8878
Practice Address - Street 1:2B BOYCE RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4329
Practice Address - Country:US
Practice Address - Phone:203-791-8878
Practice Address - Fax:203-791-8878
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist