Provider Demographics
NPI:1295798577
Name:STRISIK, SUZANNE WOMACK (PHD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:WOMACK
Last Name:STRISIK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 LARRABEE AVENUE
Mailing Address - Street 2:SUITE 104, #381
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7367
Mailing Address - Country:US
Mailing Address - Phone:907-868-7843
Mailing Address - Fax:
Practice Address - Street 1:1500 W 33RD AVE
Practice Address - Street 2:STE 210
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3505
Practice Address - Country:US
Practice Address - Phone:907-868-7843
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-08
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK495103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical