NPI 1679761498 · live from the CMS NPI Registry
Suzanne Catherine Crandall, D.O.
Psychiatry & Neurology, Neurology in Charleston, WV. National Provider Identifier 1679761498, active.
NPI record
| NPI | 1679761498 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 415 Morris St Ste 300, Charleston, WV 25301 |
| Practice phone | 304-388-6441 |
| Enumerated | October 5, 2007 |
| Last updated | August 5, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 2009007653 (MO) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 5101016555 (MI) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 3679 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.