Provider Demographics
NPI:1871847160
Name:SUTER, EMILY LONG (PC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:LONG
Last Name:SUTER
Suffix:
Gender:F
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 BUNKER CV
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5336
Mailing Address - Country:US
Mailing Address - Phone:216-272-9542
Mailing Address - Fax:
Practice Address - Street 1:29 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-1225
Practice Address - Country:US
Practice Address - Phone:440-466-0320
Practice Address - Fax:440-466-0319
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0500581101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional