Provider Demographics
NPI:1801384391
Name:SUTO, CODY (QMHS)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:
Last Name:SUTO
Suffix:
Gender:M
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1691
Mailing Address - Country:US
Mailing Address - Phone:740-633-4440
Mailing Address - Fax:740-633-4141
Practice Address - Street 1:92 N 4TH ST
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1691
Practice Address - Country:US
Practice Address - Phone:740-633-4440
Practice Address - Fax:740-633-4141
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator