Provider Demographics
NPI:1063840627
Name:WHEDBEE, SUZONNE MCGUFFEE
Entity Type:Individual
Prefix:
First Name:SUZONNE
Middle Name:MCGUFFEE
Last Name:WHEDBEE
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 1:90 MOSAIC OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-5499
Mailing Address - Country:US
Mailing Address - Phone:318-237-4500
Mailing Address - Fax:
Practice Address - Street 1:90 MOSAIC OAKS CIR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-5499
Practice Address - Country:US
Practice Address - Phone:318-237-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3449106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist