Provider Demographics
NPI:1831175793
Name:RINTALA, SUZANNE KAY (PCC-S)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:KAY
Last Name:RINTALA
Suffix:
Gender:F
Credentials:PCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4531 WOODHURST DR
Mailing Address - Street 2:5
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-3761
Mailing Address - Country:US
Mailing Address - Phone:330-744-2991
Mailing Address - Fax:330-744-2971
Practice Address - Street 1:611 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-1037
Practice Address - Country:US
Practice Address - Phone:330-744-2991
Practice Address - Fax:330-744-2971
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0500082101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional