Individual
SUZANNE CHRISTINE DANHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0451T
BCBS
NC
05
—
10162351
—
VA
05
—
6000667
—
NC
01
—
803705
PARTNERS
NC
01
—
C8078
MEDCOST
NC
Enumeration date
12/13/2005
Last updated
12/09/2008
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