| Doctor Name: | SUZANNE REUSCHLEIN GRUEN |
| NPI Number: | 1235376559 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSSW, LCSW |
| License Number: | 7512-123 |
| Business Practice Address: | 5900 Monona Dr Suite 100- Samaritan Counseling Center Monona, WI - 537163554 |
| Business Phone Number: | 6086630763 |
| Business Fax Number: | |
| Mailing Address: | 5900 Monona Dr, Suite 100- Samaritan Counseling Center MONONA |
| State: | WI |
| Postal Code: | 537163554 |
| Phone Number: | 6086630763 |
| Fax Number: | 6086630765 |
| NPI Enumeration Date: | 01/08/2009 |
| NPI Last Update Date: | 04/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7512-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |