Provider Demographics
NPI:1710016654
Name:BOND, SUZANNE GRAMMER (MS LPC CSAC)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:GRAMMER
Last Name:BOND
Suffix:
Gender:F
Credentials:MS LPC CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6767 FOREST HILL AVE
Mailing Address - Street 2:#306
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225
Mailing Address - Country:US
Mailing Address - Phone:804-320-9374
Mailing Address - Fax:804-320-9497
Practice Address - Street 1:6767 FOREST HILL AVE
Practice Address - Street 2:#306
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225
Practice Address - Country:US
Practice Address - Phone:804-320-9374
Practice Address - Fax:804-320-9497
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710001037101YA0400X
VA0701002185101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
1008566OtherCIGNA
468215OtherVALUE OPTIONS
266423OtherANTHEM