Doctor Name: | MS. SUSAN W GOLDHAMER |
NPI Number: | 1063725414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW-S |
License Number: | I. 0005546 |
Business Practice Address: | 8445 Munson Rd Mentor, OH - 440602410 |
Business Phone Number: | 4402551700 |
Business Fax Number: | 4402052417 |
Mailing Address: | 8445 Munson Rd, MENTOR |
State: | OH |
Postal Code: | 440602410 |
Phone Number: | 4402551700 |
Fax Number: | 4402052417 |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I. 0005546 |
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 |