SUZANNA JOLENE WATERS

MERIDIAN, ID
NPI1275965881
Former NameSUZANNA JOLENE REED
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  PSY-203922)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: ID  LCPC-6424)
Enumeration Date2013-08-06
Last Update Date2024-04-09
Business Address
Dr. SUZANNA JOLENE WATERS PhD
2463 E GALA ST STE 100
MERIDIAN, ID 83642-5210
Phone number: 208-955-7333
Mailing Address
Dr. SUZANNA JOLENE WATERS PhD
3407 N RHONE PL
STAR, ID 83669-5797
Phone number: 208-994-2607