Provider Demographics
NPI:1437978905
Name:SUHANY, CATHY ANN
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:SUHANY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ADMINISTRATION DR
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-4846
Mailing Address - Country:US
Mailing Address - Phone:574-371-5098
Mailing Address - Fax:
Practice Address - Street 1:1 ADMINISTRATION DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-4846
Practice Address - Country:US
Practice Address - Phone:574-371-5098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN663519103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool