| Doctor Name: | SUSAN VIAN |
| NPI Number: | 1083633812 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801081199 |
| Business Practice Address: | 3741 Wilder Rd Suite A Bay City, MI - 487062343 |
| Business Phone Number: | 9894601000 |
| Business Fax Number: | 9894601003 |
| Mailing Address: | 467 N State St, CARO |
| State: | MI |
| Postal Code: | 487231539 |
| Phone Number: | 9896726160 |
| Fax Number: | 9896726272 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801081199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |