Doctor Name: | SUZANNE GILE |
NPI Number: | 1225109465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 005895 |
Business Practice Address: | 27 Quality Ave Ste C Somers, CT - 060711840 |
Business Phone Number: | 8608089995 |
Business Fax Number: | 8602642394 |
Mailing Address: | 27 Quality Ave Ste C, SOMERS |
State: | CT |
Postal Code: | 060711840 |
Phone Number: | 8608089995 |
Fax Number: | 8602642394 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005895 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |