Provider Demographics
NPI:1518215896
Name:SATTERFIELD, SUZANNE (OT)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:SATTERFIELD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JACLYN
Other - Middle Name:SUZANNE
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:1833 PRIMROSE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-6023
Mailing Address - Country:US
Mailing Address - Phone:615-202-5553
Mailing Address - Fax:
Practice Address - Street 1:1900 GRAYBAR LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2110
Practice Address - Country:US
Practice Address - Phone:615-690-3091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000854172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker