Individual
DR. SUZANNE SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1327 18TH STREET NW, WASHINGTON, DC 20036
(202) 785-2400
(202) 452-1853
Mailing address
9441 HOLBROOK LANE, POTOMAC, MD 20854
(301) 983-9049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
03673
MD
103T00000X
Psychologist
Primary
PSY100143
DC
Other
Enumeration date
05/04/2006
Last updated
08/06/2013
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