Doctor Name: | MRS. SUSAN PATTI LOMBARDI |
NPI Number: | 1063518041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 978 |
Business Practice Address: | 100 2nd St E Whitefish, MT - 599372410 |
Business Phone Number: | 4068622784 |
Business Fax Number: | 4068622784 |
Mailing Address: | Po Box 1238, WHITEFISH |
State: | MT |
Postal Code: | 599371238 |
Phone Number: | 4068622784 |
Fax Number: | 4068624845 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |