Provider Demographics
NPI:1902315823
Name:SUITT, DEBORAH (HHA200002813)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:SUITT
Suffix:
Gender:F
Credentials:HHA200002813
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 1ST ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4243
Mailing Address - Country:US
Mailing Address - Phone:202-506-1209
Mailing Address - Fax:
Practice Address - Street 1:820 1ST ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4243
Practice Address - Country:US
Practice Address - Phone:202-506-1209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-22
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163491041S0200X
DCHHA200002813251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool