Doctor Name: | MRS. SUSAN B MCCONNELL |
NPI Number: | 1154482305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | LPT 945 |
Business Practice Address: | 6576 Airport Blvd Bldg B Ste 200 Mobile, AL - 366086768 |
Business Phone Number: | 2513424707 |
Business Fax Number: | 2513424724 |
Mailing Address: | 6576 Airport Blvd, Bldg B Ste 200 MOBILE |
State: | AL |
Postal Code: | 366086768 |
Phone Number: | 2513424707 |
Fax Number: | 2513424724 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 09/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPT 945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |