Provider Demographics
NPI:1497336853
Name:SUEN, DONNA GUAN
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:GUAN
Last Name:SUEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 NICHOLSON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-0352
Mailing Address - Country:US
Mailing Address - Phone:504-905-7711
Mailing Address - Fax:
Practice Address - Street 1:3243 NICHOLSON LAKE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-0352
Practice Address - Country:US
Practice Address - Phone:504-905-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker