| Doctor Name: | MRS. SUSAN REGINA DOGAN |
| NPI Number: | 1154545044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1965 |
| Business Practice Address: | Rr 1 Box 1990 Sylvan Cascade Road Henryville, PA - 183329137 |
| Business Phone Number: | 5706298711 |
| Business Fax Number: | 5706299570 |
| Mailing Address: | Rr 1 Box 1990, Sylvan Cascade Road HENRYVILLE |
| State: | PA |
| Postal Code: | 183329137 |
| Phone Number: | 5706298711 |
| Fax Number: | 5706299570 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |