# MS. SUZANNA MARIE TILLOTSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154533164
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 116424-3902 | UT | — |
| 106H00000X | Marriage & Family Therapist | LMFT - 11 | ID | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 07/08/2007