Active NPIIndividual provider

Dr. Suzan L Dula, PSYD, PA-C

Physician Assistant, Medical in Long Beach, Washington

NPI Number1942583372
Practice location
2204 Pacific Ave N, Long Beach, WA 98631-3300
Fax
360-642-2096
Last updated
March 9, 2020

Suzan Lynn Dula is a Physician Assistant, Medical based in Long Beach, WA. Suzan Lynn Dula practices in Long Beach, WA and has the professional credentials of PSYD, PA-C. The NPI Number for Suzan Lynn Dula is 1942583372 and holds a License No. PA10002915 (WA). The current practice location address for Suzan Lynn Dula is 2204 Pacific Ave N, Long Beach, WA 98631-3300 and can be reached out via phone at 360-642-3787 and via fax at 360-642-2096.

Provider Profile Details

NPI Number
1942583372
Provider Name
Suzan Lynn Dula
Credential
PSYD, PA-C
Provider Entity Type
Individual
Gender
Female
Address
2204 Pacific Ave N, Long Beach, WA 98631-3300
Phone Number
360-642-3787
Fax Number
360-642-2096
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2011
Last Update Date
March 9, 2020
Certification Date
March 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2204 Pacific Ave N
Long Beach, WA 98631-3300
Zip
98631-3300
Phone Number
360-642-3787
Fax Number
360-642-2096
Long Beach, WA 98631Get directions →

Provider Business Mailing Address Details

Address
905 W Riverside Ave Ste 208
Spokane, WA 99201-1099
City
Spokane
State
WA
Zip
99201-1099
Phone Number
509-747-0165

License Information

License Number (1)
PA10002915
License State (1)
WA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X · Primary
License Number (2)
PY60420557
License State (2)
WA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Suzan L Dula, PSYD, PA-C?

The NPI number of Dr. Suzan L Dula, PSYD, PA-C is 1942583372. It was assigned on September 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Suzan L Dula, PSYD, PA-C?

Dr. Suzan L Dula, PSYD, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in WA under license number PA10002915.

Where does Dr. Suzan L Dula, PSYD, PA-C practice?

The practice location is 2204 Pacific Ave N, Long Beach, WA 98631-3300. The office can be reached at 360-642-3787 (phone) or 360-642-2096 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942583372 directly on the NPPES registry website.

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