Provider Demographics
NPI:1437263324
Name:SUHR, THOMAS JOSEPH (LCSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:SUHR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 HOTEL CIRCLE CT
Mailing Address - Street 2:SUITE 235
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3411
Mailing Address - Country:US
Mailing Address - Phone:619-246-8022
Mailing Address - Fax:760-942-9551
Practice Address - Street 1:4420 HOTEL CIRCLE CT
Practice Address - Street 2:SUITE 235
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3411
Practice Address - Country:US
Practice Address - Phone:619-246-8022
Practice Address - Fax:760-942-9551
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS11761101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health