Provider Demographics
NPI:1902675143
Name:UMIT, SULE
Entity Type:Individual
Prefix:
First Name:SULE
Middle Name:
Last Name:UMIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-0083
Mailing Address - Country:US
Mailing Address - Phone:617-842-3992
Mailing Address - Fax:
Practice Address - Street 1:45 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-0083
Practice Address - Country:US
Practice Address - Phone:617-842-3992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health