Provider Demographics
NPI:1114433174
Name:MORLOCK, SUSAN MARIE (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARIE
Last Name:MORLOCK
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:26376 N 115TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-8246
Mailing Address - Country:US
Mailing Address - Phone:312-961-8075
Mailing Address - Fax:
Practice Address - Street 1:26376 N 115TH WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-8246
Practice Address - Country:US
Practice Address - Phone:312-961-8075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health