Provider Demographics
NPI:1134235138
Name:LAROCHE, SUZETTE MARIA (MD)
Entity type:Individual
Prefix:
First Name:SUZETTE
Middle Name:MARIA
Last Name:LAROCHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:509 BILTMORE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2775 HENDERSONVILLE RD STE 250
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-0060
Practice Address - Country:US
Practice Address - Phone:828-435-8250
Practice Address - Fax:828-435-8251
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0461492084N0400X
NC2015-007212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology