Provider Demographics
NPI:1417296989
Name:SUZANA ADAMS PSY.D LLC
Entity Type:Organization
Organization Name:SUZANA ADAMS PSY.D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SUZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:602-400-6804
Mailing Address - Street 1:2929 E CAMELBACK RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4425
Mailing Address - Country:US
Mailing Address - Phone:602-400-6804
Mailing Address - Fax:602-957-5076
Practice Address - Street 1:2929 E. CAMELBACK RD
Practice Address - Street 2:SUITE 114
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4425
Practice Address - Country:US
Practice Address - Phone:602-420-6804
Practice Address - Fax:602-957-5076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4190103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty