Provider Demographics
NPI:1528389095
Name:SUATONI, SARAH (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:SUATONI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 ROAST MEAT HILL RD
Mailing Address - Street 2:
Mailing Address - City:KILLINGWORTH
Mailing Address - State:CT
Mailing Address - Zip Code:06419-1424
Mailing Address - Country:US
Mailing Address - Phone:917-912-8367
Mailing Address - Fax:
Practice Address - Street 1:133 ROAST MEAT HILL RD
Practice Address - Street 2:
Practice Address - City:KILLINGWORTH
Practice Address - State:CT
Practice Address - Zip Code:06419-1424
Practice Address - Country:US
Practice Address - Phone:917-912-8367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001950101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional