DR. SUZAN LYNN DULA (NPI# 1942583372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942583372 |
| Entity Type | Individual |
| Full Name | DR. SUZAN LYNN DULA |
| Credential | PSYD, PA-C |
| Practice Address |
2204 Pacific Ave N Long Beach WA 98631-3300 |
| Mailing Address |
905 W Riverside Ave Ste 208 Spokane WA 99201-1099 |
| Practice Telephone | 3606423787 |
| Practice Fax Number | 3606422096 |
| Mailing Telephone | 5097470165 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY60420557 | WA | Behavioral Health & Social Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10002915 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Va Ctr, 116a, Augusta, ME 043306719 | 3602811233 | |
| 905 W Riverside Ave Ste 208, Spokane, WA 992011099 | 5097470165 |
| Street Address |
2204 PACIFIC AVE N |
| City | LONG BEACH |
| State | WA |
| Zip Code | 98631-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174570949 | Willapa Counseling Center | Clinic/Center | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2006-05-27 |
| 1760008783 | Willapa Counseling Center | General Practice | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-06-25 |
| 1114542503 | Sarah Wheat | Social Worker | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-06-10 |
| 1629691191 | Melodie Nichelle Presler | Peer Specialist | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-05-19 |
| 1184245565 | Michael Nolan | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-04-27 |
| 1598398067 | Cassaundra Cretian | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-02-12 |
| 1396381083 | Tysha Marie Wirkkala | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-11-18 |
| 1417590324 | Arielle Stewart | Peer Specialist | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-10-23 |
| 1841841152 | John Williams | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-09-27 |
| 1184275265 | Marisa Elizabeth Maul | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1427576362 | Susan Amy Goldsmith | Social Worker | 607 Ocean Beach Blvd. N., Long Beach, WA 98631 | 2017-08-30 |
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1659618007 | Teresa Mary Fleck | Speech-Language Pathologist | 400 S Washington, Long Beach, WA 98631 | 2013-01-04 |
| 1639400385 | Wendy Liu | Counselor | 2204 Pacififc Avenue N, Long Beach, WA 98631 | 2010-01-20 |
| 1093046088 | Diane L Adams | Counselor | 2204 Pacific Avenue N, Long Beach, WA 98631 | 2010-01-15 |
| 1538498076 | Steven R Fox | Counselor | 22004 Pacific Way N, Long Beach, WA 98631 | 2009-12-11 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| Find all providers in zip 98631 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508261256 | Trisha Luu | Physician Assistant | 3300 E. South Street, Suite 308, Long Beach, CA 90805 | 2014-10-23 |
| 1316284151 | Joan Eastlack | Physician Assistant | 432 Panama Ave, Long Beach, CA 90814-1909 | 2013-01-14 |
| 1205125267 | Renae C Bright | Physician Assistant | 461 E Broadway, Long Beach #4, Long Beach, NY 11561-4437 | 2011-03-30 |
| 1881903680 | Monte Carl Burnam Physician Assistant Professional Corporation | Physician Assistant | 1145 E Amelia Dr, Long Beach, CA 90807-2403 | 2010-09-28 |
| 1912233438 | Wesley Charles Adams | Physician Assistant | 3559 E South St, Long Beach, CA 90805-4519 | 2009-10-19 |
| 1396920864 | Mohammad A Shadjari | Physician Assistant | 1635 E Ocean Blvd, Apt. F3, Long Beach, CA 90802-6001 | 2008-01-03 |
| 1710047220 | Rosemary Tilmon-kellum | Physician Assistant | 1250 Bellflower Blvd., Student Health Center, Long Beach, CA 90840 | 2006-12-12 |
| 1760542930 | Paul Scott Margraf | Physician Assistant | 2880 Atlantic Ave Ste 230, Long Beach, CA 90806-1735 | 2006-12-11 |
| 1669404380 | Bonnie Michelle Moreno Harris | Physician Assistant | 2495 Pine Ave, Long Beach, CA 90806-3029 | 2006-07-06 |
| 1952850364 | Kaitlyn Vu | Physician Assistant | 2690 Pacific Ave Ste 290, Long Beach, CA 90806-2631 | 2016-09-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 98631 |
Please comment or provide details below to improve the information on DR. SUZAN LYNN DULA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.