Provider Demographics
NPI:1356459176
Name:SKRABO, SUZANNE LINDA (MFT)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:LINDA
Last Name:SKRABO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 NEW MOHAWK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-3248
Mailing Address - Country:US
Mailing Address - Phone:530-478-0900
Mailing Address - Fax:530-478-0982
Practice Address - Street 1:138 NEW MOHAWK RD STE 200
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-3248
Practice Address - Country:US
Practice Address - Phone:530-478-0900
Practice Address - Fax:530-478-0982
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39899106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist