| Susan E Tutty Llc | |
|
1842 Independence Sq Ste D Dunwoody GA 30338-5168 | |
| (678) 982-6189 | |
| (404) 393-8389 |
| Full Name | Susan E Tutty Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1842 Independence Sq Ste D, Dunwoody, Georgia |
| Authorized Official Name and Position | Susan E Tutty (OWNER-PSYCHOTHERAPIST) |
| Authorized Official Contact | 6789826189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E Tutty Llc 1842 Independence Sq Ste D Dunwoody GA 30338-5168 Ph: (678) 982-6189 | Susan E Tutty Llc 1842 Independence Sq Ste D Dunwoody GA 30338-5168 Ph: (678) 982-6189 |
| NPI Number | 1558823955 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 04/03/2019 |
| Medicare PECOS PAC ID | 7012259419 |
|---|---|
| Medicare Enrollment ID | O20190506001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558823955 | NPI | - | NPPES |
| 003176377A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Tutty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437495454 PECOS PAC ID: 2567616451 Enrollment ID: I20130130000221 |
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