Doctor Name: | MRS. SUSAN MAHLER |
NPI Number: | 1023149853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | PRO230661 |
Business Practice Address: | 47 Echo Ln Larchmont, NY - 105382203 |
Business Phone Number: | 9148346441 |
Business Fax Number: | 9148345248 |
Mailing Address: | 47 Echo Ln, LARCHMONT |
State: | NY |
Postal Code: | 105382203 |
Phone Number: | 9148346441 |
Fax Number: | 9148345248 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PRO230661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |