Provider Demographics
NPI:1417006636
Name:SALDARINI, SUZANNE THOMAS (MA)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:THOMAS
Last Name:SALDARINI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SURREY LANE
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-2503
Mailing Address - Country:US
Mailing Address - Phone:201-327-3419
Mailing Address - Fax:201-327-7214
Practice Address - Street 1:79 N FRANKLIN TURNPIKE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1897
Practice Address - Country:US
Practice Address - Phone:201-818-2443
Practice Address - Fax:201-327-7214
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00063600101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
2319161000OtherAMERI HEALTH
7069518OtherAETNA BEHAVIORAL HEALTH
2063722140OtherHORIZON BLUE CROSS BLUE S