Individual
MS. SUSAN A BOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-9007
(901) 369-1400
(901) 369-1433
Mailing address
3810 WINCHESTER RD, MEMPHIS, TN 38118-9007
(901) 369-1400
(901) 369-1433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
09/11/2025
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