Provider Demographics
NPI:1710028592
Name:SUAREZ, SYLVIA M (LPC)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:M
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 FOUNTAIN GATE CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-3908
Mailing Address - Country:US
Mailing Address - Phone:405-292-2078
Mailing Address - Fax:405-364-3209
Practice Address - Street 1:932 N. FLOOD AVENUE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069
Practice Address - Country:US
Practice Address - Phone:405-321-3719
Practice Address - Fax:405-364-3209
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3113101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health