Provider Demographics
NPI:1609953488
Name:DEVITT, SUSAN STRANGE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:STRANGE
Last Name:DEVITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6330 NEWTOWN RD
Mailing Address - Street 2:SUITE 523
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4807
Mailing Address - Country:US
Mailing Address - Phone:757-461-8833
Mailing Address - Fax:757-461-6138
Practice Address - Street 1:6330 NEWTOWN RD
Practice Address - Street 2:SUITE 523
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4807
Practice Address - Country:US
Practice Address - Phone:757-461-8833
Practice Address - Fax:757-461-6138
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010347522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
072796OtherBCBS
E73045Medicare UPIN