| Doctor Name: | SUSAN R ANDERSON |
| NPI Number: | 1114930575 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 1672 |
| Business Practice Address: | 934 Big Thompson Ave Estes Park, CO - 805178905 |
| Business Phone Number: | 9702864886 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2973, ESTES PARK |
| State: | CO |
| Postal Code: | 805172973 |
| Phone Number: | 9702864886 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 03/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |