# MISS SUZANNAH GLOVER COUNTRYMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396172599
- **Gender:** F
- **Credential:** ED.S., LPES

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | 4662 | SC | — |
| 103TS0200X | School Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2013
- **Last updated:** 04/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1588615918 | — | SC |