Provider Demographics
NPI:1700329851
Name:MIHLON, SUZANNE HUXEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:HUXEL
Last Name:MIHLON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 GROSSMONT SUMMIT DR STE 303
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-4129
Mailing Address - Country:US
Mailing Address - Phone:949-329-8761
Mailing Address - Fax:
Practice Address - Street 1:9400 GROSSMONT SUMMIT DR STE 303
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-4129
Practice Address - Country:US
Practice Address - Phone:949-329-8761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30422103TC0700X
IL178009710101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional