Dr Suzanne Andry Botello, PHD, LPC is a
Psychologist - Counseling based in Flagstaff, Arizona. Dr Suzanne Andry Botello is licensed to practice in Arizona (license number 4765) and her current practice location is
1538 W Daydream Dr, Flagstaff, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 266-3770.
NPI number for Dr Suzanne Andry Botello is 1922621242 and her current mailing address is 1538 W Daydream Dr, Flagstaff, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922621242.
Healthcare Provider's Profile
| Full Name | Dr Suzanne Andry Botello |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 1538 W Daydream Dr, Flagstaff, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922621242
- Provider Enumeration Date: 05/20/2020
- Last Update Date: 05/20/2020
Medical Identifiers
Medical identifiers for Dr Suzanne Andry Botello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922621242 | NPI | - | NPPES |
| 03029048 | Other | AZ | TRANSACTION PRIVILEGE TAX NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | LPC-2539 (Arizona) | Secondary |
| 103TC1900X | Psychologist - Counseling | 4765 (Arizona) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | 4765 (Arizona) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Suzanne Andry Botello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Suzanne Andry Botello, PHD, LPC 1538 W Daydream Dr, Flagstaff, AZ 86001-7212 Ph: (928) 266-3770 | Dr Suzanne Andry Botello, PHD, LPC 1538 W Daydream Dr, Flagstaff, AZ 86001-7212 Ph: (928) 266-3770 |
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