Provider Demographics
NPI:1528205481
Name:ASANO, SUZANNE ERI (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:ERI
Last Name:ASANO
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 1:1537 ALTON ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-1712
Mailing Address - Country:US
Mailing Address - Phone:303-923-2920
Mailing Address - Fax:303-923-2921
Practice Address - Street 1:1537 ALTON ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-1712
Practice Address - Country:US
Practice Address - Phone:303-923-2920
Practice Address - Fax:303-923-2921
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2491103TC0700X
103TC1900X
COPSY.0002491103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO2491OtherLICENSED PSYCHOLOGIST