Provider Demographics
NPI:1538330097
Name:SHUSTER, KARLEEN SUZANNE (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KARLEEN
Middle Name:SUZANNE
Last Name:SHUSTER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-6098
Mailing Address - Country:US
Mailing Address - Phone:850-602-2788
Mailing Address - Fax:850-934-0266
Practice Address - Street 1:310 E GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-6098
Practice Address - Country:US
Practice Address - Phone:850-602-2788
Practice Address - Fax:850-934-0266
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2296106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMT 2296OtherMFT LICENSE