Provider Demographics
NPI:1306950878
Name:MUHLMANN, SUZANNE (LICSW)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:MUHLMANN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 COLLEGE ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1421
Mailing Address - Country:US
Mailing Address - Phone:413-534-7400
Mailing Address - Fax:413-534-7483
Practice Address - Street 1:130 SOUTHAMPTON RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1370
Practice Address - Country:US
Practice Address - Phone:413-572-9900
Practice Address - Fax:413-572-9901
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110720104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP06108OtherBLUE SHIELD
MAP06108OtherBLUE SHIELD