Provider Demographics
NPI:1881821791
Name:FREERKSEN, SUZANNA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNA
Middle Name:LYNN
Last Name:FREERKSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3141 STEVENS CREEK BLVD STE 40141
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-1141
Mailing Address - Country:US
Mailing Address - Phone:669-242-5151
Mailing Address - Fax:669-242-5152
Practice Address - Street 1:913 WILLOW ST STE 103
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-2380
Practice Address - Country:US
Practice Address - Phone:669-242-5151
Practice Address - Fax:669-242-5152
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.314712084P0800X
CAA1326762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry