Doctor Name: | MS. SUSAN JANE KAYSER |
NPI Number: | 1265751663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MENTAL HEALTH COUNSE |
License Number: | LPC663 |
Business Practice Address: | 500 Trinity Lane North Suite 1205 St. Petersburg, FL - 33716 |
Business Phone Number: | 7279021152 |
Business Fax Number: | |
Mailing Address: | 500 Trinity Lane North, Suite 1205 ST. PETERSBURG |
State: | FL |
Postal Code: | 33716 |
Phone Number: | 7279021152 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2010 |
NPI Last Update Date: | 05/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC663 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |