Provider Demographics
NPI:1841505930
Name:STEGE, SUZANNE CRAIN (PHD, LPC)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:CRAIN
Last Name:STEGE
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 W 14TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1725
Mailing Address - Country:US
Mailing Address - Phone:512-482-9266
Mailing Address - Fax:
Practice Address - Street 1:603 W 14TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1725
Practice Address - Country:US
Practice Address - Phone:512-482-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX09216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional