Most Relevant Information
Provider Data
| NPI Number: | 1003337684 |
| Provider Name: | SUSI BLITMAN LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH15054 |
Most Important Dates
| Enumeration Date: | 07/04/2017 |
| Last Updated: | 10/08/2021 |
Provider Practice Location
2010 NW 150TH AVE
PEMBROKE PINES
FL
330282887
Practice Location Phone/Fax
| Phone: | 9544319838 |
| Fax: | 9547792316 |
Provider Mailing Location
10286 HARBOR INN CT
CORAL SPRINGS
FL
330715622
Provider Mailing Phone/Fax
| Phone: | 9545473414 |
| Fax: |