| Doctor Name: | SUSAN KAY AUGUSTINE |
| NPI Number: | 1033317151 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D |
| License Number: | LPC-583 |
| Business Practice Address: | 1277 N 15th St Laramie, WY - 82072 |
| Business Phone Number: | 3077426222 |
| Business Fax Number: | 3077429905 |
| Mailing Address: | Po Box 1304, LARAMIE |
| State: | WY |
| Postal Code: | 82073 |
| Phone Number: | 3077426222 |
| Fax Number: | 3077429905 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 04/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC-583 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |