NPI 1992004717 · live from the CMS NPI Registry
Susanne Ratcliffe Wilson, MFT
Marriage & Family Therapist in Homer, AK. National Provider Identifier 1992004717, active.
NPI record
| NPI | 1992004717 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3948 Ben Walters Ln, Homer, AK 99603 |
| Practice phone | 907-235-0318 |
| Enumerated | March 18, 2011 |
| Last updated | March 18, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFC37587 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.