Most Relevant Information
Provider Data
| NPI Number: | 1003399585 |
| Provider Name: | SUZANNE MARIE ROBERTSON LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH15538 |
Most Important Dates
| Enumeration Date: | 09/11/2018 |
| Last Updated: | 09/11/2018 |
Provider Practice Location
119 VAN FLEET CT
AUBURNDALE
FL
338232019
Practice Location Phone/Fax
| Phone: | 8633705668 |
| Fax: |
Provider Mailing Location
119 VAN FLEET CT
AUBURNDALE
FL
338232019
Provider Mailing Phone/Fax
| Phone: | 8633705668 |
| Fax: |