Provider Demographics
NPI:1083952642
Name:PEPER, SUZANNE D (BS)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:D
Last Name:PEPER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14811 HANFOR AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-3009
Mailing Address - Country:US
Mailing Address - Phone:313-406-3742
Mailing Address - Fax:
Practice Address - Street 1:14811 HANFOR AVE
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-3009
Practice Address - Country:US
Practice Address - Phone:313-406-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor