Provider Demographics
NPI:1497529390
Name:HADDAD, SUHAD (SUE) S (PHD, LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:SUHAD (SUE)
Middle Name:S
Last Name:HADDAD
Suffix:
Gender:F
Credentials:PHD, LCPC, NCC
Other - Prefix:DR
Other - First Name:SUE
Other - Middle Name:S
Other - Last Name:HADDAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCPC, NCC
Mailing Address - Street 1:4049 LOMAR DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-4572
Mailing Address - Country:US
Mailing Address - Phone:240-750-0987
Mailing Address - Fax:
Practice Address - Street 1:4049 LOMAR DR
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-4572
Practice Address - Country:US
Practice Address - Phone:240-750-0987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4706101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional