MRS. ANNE-MARIE G. SUDDRETH


Address: 132 Poplar Grove Connector, Suite B, Boone, NC 28607-5915
Phone: 8282648759

MRS. ANNE-MARIE G. SUDDRETH (NPI# 1043288012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043288012
Entity Type Individual
Full Name MRS. ANNE-MARIE G. SUDDRETH
Credential LPA
Practice Address 132 Poplar Grove Connector
Suite B
Boone
NC 28607-5915
Practice Telephone 8282648759
Practice Fax Number 8282625687
Mailing Telephone 8282648759
Mailing Fax Number 8282625687
Enumeration Date 2006-03-08
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 2583 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6107399 05

Office Location

Street Address 132 POPLAR GROVE CONNECTOR
SUITE B
City BOONE
State NC
Zip Code 28607-5915

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013984277 Julie Reed Neal Psychologist 132 Poplar Grove Connector, Suite B, Boone, NC 28607-5915 2006-03-07
1609272863 Zac Faw Counselor 132 Poplar Grove Connector, Boone, NC 28607-6120 2014-11-14
1245646173 Mary Van Huss Social Worker 132 Poplar Grove Connector, Boone, NC 28607-5915 2014-07-11
1386079358 Amoret Phillips Counselor 132 Poplar Grove Connector, Suite B, Boone, NC 28607-5915 2013-09-10
1245671759 Jordan Montgomery Counselor 132 Poplar Grove Connector, B, Boone, NC 28607-5915 2013-07-12
1861739088 Whitney Royal Counselor 132 Poplar Grove Connector, Boone, NC 28607-5915 2013-01-08
1265784771 Joelle Rogers Marriage & Family Therapist 132 Poplar Grove Connector, Suite B, Boone, NC 28607-5915 2012-10-08
1023369931 Veronica Lee Timbers Social Worker 132 Poplar Grove Connector, Boone, NC 28607-5915 2012-10-02
1558634360 Karen S Brown Marriage & Family Therapist 132 Poplar Grove Connector, B, Boone, NC 28607-5915 2012-02-10
1598035263 Kati Hamm Pressly Counselor 132 Poplar Grove Connector, B, Boone, NC 28607-5915 2012-01-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184261232 Blaire E. Warren, Dds, Pllc Clinic/Center 142 Doctors Drive, Boone, NC 28607 2019-12-09
1073176871 Whitney B Van Sant Psychologist 719-a Greenway Rd., Boone, NC 28607 2019-04-17
1710489273 Appalachian Regional Medical Associates Inc Internal Medicine Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 2018-03-01
1891234019 Laura Kacere Counselor 895 State Farm Rd Ste 507-5, Boone, NC 28607 2017-02-21
1902357320 Innate Chiropractic - Pllc Chiropractor 838 State Farm Road, Ste 1, Boone, NC 28607 2016-10-20
1437519501 David Hale Johnson Nurse Practitioner 169 Doctors Drive, Boone, NC 28607 2016-03-02
1639538895 Lara Mele Lactation Consultant, Non-RN 180 Pine Hill Road, Boone, NC 28607 2016-02-16
1659749927 Rachel Arledge Counselor 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 2015-09-03
1346625431 Kelly Walsh Whiteley Dentist 450 New Market Blvd Ste 2, Boone, NC 28607 2015-07-30
1184000234 Ruby Amanda Stipe Blaylock Physician Assistant 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 2015-07-30
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073176871 Whitney B Van Sant Psychologist 719-a Greenway Rd., Boone, NC 28607 2019-04-17
1134415037 Holli E Sink Psychologist 719 A Greenway Rd., Box 10, Boone, NC 28607 2011-06-20
1790081834 Robin T. Spicer Psychologist 8076 Highway 105 South, Boone, NC 28607 2011-02-08
1497994214 Christina Lee Holley Psychologist 8076 Nc Highway 105 S, Boone, NC 28607-7333 2009-02-18
1881737062 Robert W Hill Psychologist 140 Appalachian St Ste A, Boone, NC 28607-4109 2007-02-15
1235205832 H G Schneider Psychologist 249 Wilson Dr, Suite 5, Boone, NC 28607-8781 2006-11-27
1548361355 Susan A Frank Psychologist 132b Poplar Grove Connector, Boone, NC 28607-5915 2006-09-26
1083723761 Tandrea Jeanette Carter Psychologist 400 University Hall Dr, Boone, NC 28608 2006-08-29
1184693707 Ashley Angliss Mckinney Psychologist 719a Greenway Rd # 10, Boone, NC 28607-4816 2006-03-16
1619945698 Murray G Hawkinson Psychologist 132 Poplar Grove Connector Ste B, Boone, NC 28607-5915 2006-03-08
Find all providers in BOONE

Competitor

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City BOONE
Zip Code 28607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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