Provider Demographics
NPI:1538569165
Name:VANMETER, SUSAN
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:VANMETER
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 1:5 MOORE DR
Mailing Address - Street 2:ATTN: 5.4600
Mailing Address - City:RTP
Mailing Address - State:NC
Mailing Address - Zip Code:27709-0143
Mailing Address - Country:US
Mailing Address - Phone:919-483-1273
Mailing Address - Fax:
Practice Address - Street 1:5 MOORE DR
Practice Address - Street 2:ATTN: 5.4600
Practice Address - City:RTP
Practice Address - State:NC
Practice Address - Zip Code:27709-0143
Practice Address - Country:US
Practice Address - Phone:919-483-1273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95007502084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry