Provider Demographics
NPI:1639590144
Name:GATTUSO, SUZANNE MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:MARIE
Last Name:GATTUSO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1378 HENDERSONVILLE RD STE F
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1900
Mailing Address - Country:US
Mailing Address - Phone:828-280-3458
Mailing Address - Fax:828-277-5284
Practice Address - Street 1:1378 HENDERSONVILLE RD
Practice Address - Street 2:SUITE F
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1957
Practice Address - Country:US
Practice Address - Phone:828-277-5281
Practice Address - Fax:828-277-5284
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1983103TC0700X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical