Susanne Michelle Hafiz, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

UO1109 Issued in MD

Practice address

8388 Court Ave Ste 101
Ellicott City, MD 21043-4514

Phone

(410) 418-8840

Fax

(410) 418-8778

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932322492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BRYANS MILL WAY",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285454",
            "telephone_number": "410-440-6993",
            "fax_number": "410-418-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8388 COURT AVE STE 101",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434514",
            "telephone_number": "410-418-8840",
            "fax_number": "410-418-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFIZ",
        "first_name": "SUSANNE",
        "middle_name": "MICHELLE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "UO1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Gwynne, M.S. SLP
• Mary Therese Gyi, PHARM.D.
• Amelia Larkin Haas, OTR/L
• Shanice Hackley, LCSW-C
• Jamiel Sharief Hafiz, LPA, LAC
• Samirawit Hailemariam, CRNP
• Anna Lvovna Hain, LCPC
• Megan Haines, MA, CAS, NCSP, PBC
• Hak J. Seok, DDS, PC (Smile Dental Care)
• Christopher Hall, LGPC

• Acupuncturist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.