Provider Demographics
NPI:1073756722
Name:SCHROCK-KELLEY, SUZANNE (MS, CGC)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:SCHROCK-KELLEY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3831
Mailing Address - Country:US
Mailing Address - Phone:970-765-0818
Mailing Address - Fax:970-497-8410
Practice Address - Street 1:600 S 5TH ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5711
Practice Address - Country:US
Practice Address - Phone:970-497-8001
Practice Address - Fax:970-240-7793
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS