Doctor Name: | MS. SUZANNE CHANEY |
NPI Number: | 1033122932 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. COMMUNITY COUN |
License Number: | |
Business Practice Address: | 404 N Daniel St Weatherford, OK - 730964416 |
Business Phone Number: | 5803090684 |
Business Fax Number: | |
Mailing Address: | 404 N Daniel St, Apt. # 802 WEATHERFORD |
State: | OK |
Postal Code: | 730964416 |
Phone Number: | 5803090684 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 09/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |