| Suzanne R Eaton Psy.d. Pllc | |
|
3712 Old Forest Rd. Suite 500 Unit 1 Lynchburg VA 24501 | |
| (434) 609-4099 | |
| Not Available |
| Full Name | Suzanne R Eaton Psy.d. Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3712 Old Forest Rd., Lynchburg, Virginia |
| Authorized Official Name and Position | Suzanne R Eaton (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4346094099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne R Eaton Psy.d. Pllc 3712 Old Forest Rd. Suite 500 Unit 1 Lynchburg VA 24501 Ph: (434) 609-4099 | Suzanne R Eaton Psy.d. Pllc 3712 Old Forest Rd. Suite 500 Unit 1 Lynchburg VA 24501 Ph: (434) 609-4099 |
| NPI Number | 1093460990 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Medicare PECOS PAC ID | 9739575770 |
|---|---|
| Medicare Enrollment ID | O20220331000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093460990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Suzanne Rozgonyi Eaton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184709966 PECOS PAC ID: 8820246259 Enrollment ID: I20160609000207 |
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