Doctor Name: | MRS. SUSAN WHAN DOAN-BEX |
NPI Number: | 1215169255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C2140 |
Business Practice Address: | 418 Scr 580 Forest, MS - 390745668 |
Business Phone Number: | 6017895491 |
Business Fax Number: | |
Mailing Address: | 418 Scr 580, FOREST |
State: | MS |
Postal Code: | 390745668 |
Phone Number: | 6017895491 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2009 |
NPI Last Update Date: | 12/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C2140 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |