Individual
SUZANNE DEISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, ATR-BC, LCAT
Contact information
Practice address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(605) 493-5000
Mailing address
1634 BROADWAY, ALAMEDA, CA 94501-3021
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001954
NY
Other
Enumeration date
07/26/2019
Last updated
06/12/2020
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