Susan Lois Enzle, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00351 Issued in IA

Practice address

4403 1St Ave SE
Suite 512
Cedar Rapids, IA 52402-3200

Phone

(319) 362-3720

Fax

(319) 862-1748

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1023037231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE",
            "address_2": "SUITE 512",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023200",
            "telephone_number": "319-362-3720",
            "fax_number": "319-862-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE",
            "address_2": "SUITE 512",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023200",
            "telephone_number": "319-362-3720",
            "fax_number": "319-862-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZLE",
        "first_name": "SUSAN",
        "middle_name": "LOIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.