Provider Demographics
NPI:1518332337
Name:SCEARCE, SUSANNAH MILLER (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSANNAH
Middle Name:MILLER
Last Name:SCEARCE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6345 NEW MARKET WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6820
Mailing Address - Country:US
Mailing Address - Phone:919-455-4236
Mailing Address - Fax:
Practice Address - Street 1:10580 LIGON MILL ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4575
Practice Address - Country:US
Practice Address - Phone:919-263-9592
Practice Address - Fax:919-263-9670
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4885103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical