Individual
LUISA SUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP,QRP
Contact information
Practice address
6845 FAIRVIEW RD, CHARLOTTE, NC 28210-3363
(980) 259-7235
Mailing address
100 WAXHAW PKWY UNIT 713, WAXHAW, NC 28173-9922
(571) 326-6463
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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