Doctor Name: | MS. SUSAN ELIZABETH PYLES |
NPI Number: | 1013022318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, BCD |
License Number: | C5103 |
Business Practice Address: | 11070 David St Gulfport, MS - 395033481 |
Business Phone Number: | 2289905217 |
Business Fax Number: | 2285949155 |
Mailing Address: | Po Box 4397, BILOXI |
State: | MS |
Postal Code: | 395354397 |
Phone Number: | 2289905217 |
Fax Number: | 2285949155 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C5103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |