Doctor Name: | SUSAN SPITTAL ASHBY |
NPI Number: | 1194886911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 070250 |
Business Practice Address: | 27 Franklin St Springville Counseling Center Springville, NY - 141411314 |
Business Phone Number: | 7165929301 |
Business Fax Number: | 7165929376 |
Mailing Address: | 227 Thorn Ave, Spectrum Human Services ORCHARD PARK |
State: | NY |
Postal Code: | 141272600 |
Phone Number: | 7166622040 |
Fax Number: | 7166620019 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 070250 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |