Provider Demographics
NPI:1215369707
Name:SUK-ERB, WIPANEE (MSC)
Entity Type:Individual
Prefix:MISS
First Name:WIPANEE
Middle Name:
Last Name:SUK-ERB
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 ALTON ST
Mailing Address - Street 2:ASIAN PACIFIC DEVELOPMENT CENTER
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-1712
Mailing Address - Country:US
Mailing Address - Phone:303-923-2920
Mailing Address - Fax:
Practice Address - Street 1:1537 ALTON ST
Practice Address - Street 2:ASIAN PACIFIC DEVELOPMENT CENTER
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-1712
Practice Address - Country:US
Practice Address - Phone:303-923-2920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health