| Doctor Name: | SUSAN KATHLEEN SHEARER |
| NPI Number: | 1174635619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPAT |
| License Number: | 0125 |
| Business Practice Address: | 6200 Crestwood Sta Ste A Crestwood, KY - 400147418 |
| Business Phone Number: | 5022412909 |
| Business Fax Number: | 5022416811 |
| Mailing Address: | Po Box 73070, CLEVELAND |
| State: | OH |
| Postal Code: | 441930002 |
| Phone Number: | 5022412909 |
| Fax Number: | 5022416811 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |