Doctor Name: | ASHLEY SUTER |
NPI Number: | 1306230115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | LW60361334 |
Business Practice Address: | 7807 S Blackberry St Cheney, WA - 990048692 |
Business Phone Number: | 5092803703 |
Business Fax Number: | |
Mailing Address: | 7807 S Blackberry St, CHENEY |
State: | WA |
Postal Code: | 990048692 |
Phone Number: | 5092803703 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2015 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW60361334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |