Provider Demographics
NPI:1881674067
Name:MASCHMEYER, SUZANNE D (MA, DMIN)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:D
Last Name:MASCHMEYER
Suffix:
Gender:F
Credentials:MA, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-0218
Mailing Address - Country:US
Mailing Address - Phone:697-329-1849
Mailing Address - Fax:
Practice Address - Street 1:48 HIBBARD RD
Practice Address - Street 2:
Practice Address - City:BIG FLATS
Practice Address - State:NY
Practice Address - Zip Code:14814-8933
Practice Address - Country:US
Practice Address - Phone:607-329-1849
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health