Doctor Name: | SUSAN A CRANE |
NPI Number: | 1275757734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 110297 |
Business Practice Address: | 1414 S Washington St Suite 202 Papillion, NE - 680464121 |
Business Phone Number: | 4028274300 |
Business Fax Number: | 4028274303 |
Mailing Address: | Po Box 641130, OMAHA |
State: | NE |
Postal Code: | 681647130 |
Phone Number: | 4025722907 |
Fax Number: | 4025723544 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 110297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |