Doctor Name: | SUSAN BREWER |
NPI Number: | 1053775221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW-S |
License Number: | 7799-S |
Business Practice Address: | 3591 Reserve Commons Dr Suite 301 Medina, OH - 442565334 |
Business Phone Number: | 3307647916 |
Business Fax Number: | 3307236399 |
Mailing Address: | 3591 Reserve Commons Dr, Suite 301 MEDINA |
State: | OH |
Postal Code: | 442565334 |
Phone Number: | 3307647916 |
Fax Number: | 3307236399 |
NPI Enumeration Date: | 04/13/2016 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7799-S |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |