Provider Demographics
NPI:1043318710
Name:HUNSLEY, SUZANNE M (MSW)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:HUNSLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20102 CEDAR VALLEY RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6333
Mailing Address - Country:US
Mailing Address - Phone:206-522-6385
Mailing Address - Fax:425-670-8081
Practice Address - Street 1:20102 CEDAR VALLEY RD
Practice Address - Street 2:SUITE 107
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6333
Practice Address - Country:US
Practice Address - Phone:206-522-6385
Practice Address - Fax:425-670-8081
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000060241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical