Provider Demographics
NPI:1619187812
Name:PASTER, SUZANNE MICHELE (LMFT)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:MICHELE
Last Name:PASTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:PASTER
Other - Last Name:HALCOMB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2339 ABBEYGLEN CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6216
Mailing Address - Country:US
Mailing Address - Phone:205-413-2449
Mailing Address - Fax:
Practice Address - Street 1:2032 SHADY CREST DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5411
Practice Address - Country:US
Practice Address - Phone:205-413-2449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL271106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist