Doctor Name: | MRS. SUSAN ELIZABETH STEPP |
NPI Number: | 1174806566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 605 |
Business Practice Address: | 208 N 2nd St Hugo, OK - 747433854 |
Business Phone Number: | 5803269648 |
Business Fax Number: | 5803262811 |
Mailing Address: | Po Box 311, HUGO |
State: | OK |
Postal Code: | 747430311 |
Phone Number: | 5803262424 |
Fax Number: | 5803264811 |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |