Provider Demographics
NPI:1902952419
Name:FLESCHNER, SUZANNE G (LPC NCC)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:G
Last Name:FLESCHNER
Suffix:
Gender:F
Credentials:LPC NCC
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:
Other - Last Name:FLESCHNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC NCC
Mailing Address - Street 1:1143 BELLA VISTA DRIVE
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:314-995-9810
Mailing Address - Fax:
Practice Address - Street 1:7700 CLAYTON ROAD SUITE 210
Practice Address - Street 2:
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117
Practice Address - Country:US
Practice Address - Phone:314-369-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCS001681101YP2500X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO114958OtherANTHEM BLUE CROSS BLUE SH
MO558786OtherVALUE OPTIONS