| Doctor Name: | MRS. SUSAN DELORES SCROGGIN |
| NPI Number: | 1003938861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPCC, LMFT |
| License Number: | 0065132 |
| Business Practice Address: | 1807 2nd St #58 Santa Fe, NM - 875053499 |
| Business Phone Number: | 5059950091 |
| Business Fax Number: | 5059950909 |
| Mailing Address: | Po Box 4501, SANTA FE |
| State: | NM |
| Postal Code: | 875024501 |
| Phone Number: | 5054709605 |
| Fax Number: | 5059950909 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0065132 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |