Individual
DR. SUSAN CHERIE SULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
204 N PARK AVE STE 100, SANFORD, FL 32771-1293
(407) 330-0418
(407) 321-0059
Mailing address
PO BOX 2525, SANFORD, FL 32772-2525
(407) 330-0418
(407) 321-0059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 3854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014309900
—
FL
Enumeration date
12/19/2006
Last updated
09/12/2019
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