Individual
DR. SUZANNE G BENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7040 HEPBURN RD, MIDDLEBURG HTS, OH 44130
(216) 410-8664
Mailing address
PO BOX 24242, CLEVELAND, OH 44124-0242
(216) 839-2273
(216) 896-0735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2430659
—
OH
Enumeration date
02/02/2006
Last updated
08/09/2018
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