Doctor Name: | DR. SUZANNE YOUNG BUSHFIELD |
NPI Number: | 1003944026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D,, MSW |
License Number: | LCSW 1185 |
Business Practice Address: | 4701 W Thunderbird Rd Glendale, AZ - 853064900 |
Business Phone Number: | 6025436609 |
Business Fax Number: | 6025436612 |
Mailing Address: | 19835 N 92nd Ave, PEORIA |
State: | AZ |
Postal Code: | 853820987 |
Phone Number: | 6025436609 |
Fax Number: | 6025436612 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW 1185 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |