Provider Demographics
NPI:1497048656
Name:NAGUIB, SUZI AHMED (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SUZI
Middle Name:AHMED
Last Name:NAGUIB
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5535 CAMBRIDGE CLUB CIR APT 207
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9254
Mailing Address - Country:US
Mailing Address - Phone:734-834-9258
Mailing Address - Fax:
Practice Address - Street 1:5535 CAMBRIDGE CLUB CIR APT 207
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9254
Practice Address - Country:US
Practice Address - Phone:734-834-9258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013843103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical