Provider Demographics
NPI:1497128136
Name:SUZUKI, MASAKO (MA)
Entity Type:Individual
Prefix:MS
First Name:MASAKO
Middle Name:
Last Name:SUZUKI
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 1:765 S ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1572
Mailing Address - Country:US
Mailing Address - Phone:303-668-0380
Mailing Address - Fax:
Practice Address - Street 1:765 S ONEIDA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1572
Practice Address - Country:US
Practice Address - Phone:303-668-0380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health