Provider Demographics
NPI:1326572660
Name:HOSLER, SUZANNE (BSLBSW)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:HOSLER
Suffix:
Gender:F
Credentials:BSLBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 E APPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-3466
Mailing Address - Country:US
Mailing Address - Phone:231-724-3686
Mailing Address - Fax:231-724-3353
Practice Address - Street 1:1470 PECK ST
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-2158
Practice Address - Country:US
Practice Address - Phone:231-724-3686
Practice Address - Fax:231-724-3353
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802060679104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker