| Doctor Name: | MS. SUSAN ADAMS NIEDENTHAL |
| NPI Number: | 1003902693 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701003228 |
| Business Practice Address: | 6330 Newtown Rd Suite 300 Norfolk, VA - 235024802 |
| Business Phone Number: | 7574663336 |
| Business Fax Number: | 7574555750 |
| Mailing Address: | 6330 Newtown Rd, Suite 300 NORFOLK |
| State: | VA |
| Postal Code: | 235024802 |
| Phone Number: | 7574663336 |
| Fax Number: | 7574555750 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 12/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701003228 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |