Provider Demographics
NPI:1093460990
Name:SUZANNE R EATON PSY.D. PLLC
Entity Type:Organization
Organization Name:SUZANNE R EATON PSY.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:EATON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:434-609-4099
Mailing Address - Street 1:3712 OLD FOREST RD.
Mailing Address - Street 2:SUITE 500 UNIT 1
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501
Mailing Address - Country:US
Mailing Address - Phone:434-609-4099
Mailing Address - Fax:
Practice Address - Street 1:3712 OLD FOREST RD.
Practice Address - Street 2:SUITE 500 UNIT 1
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501
Practice Address - Country:US
Practice Address - Phone:434-609-4099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty