Doctor Name: | MS. SUSAN JEAN GUIDA |
NPI Number: | 1366682411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R069724 1 |
Business Practice Address: | 626 Willis Ave Williston Park, NY - 115961149 |
Business Phone Number: | 5166212854 |
Business Fax Number: | |
Mailing Address: | 43 Dogwood Rd, ALBERTSON |
State: | NY |
Postal Code: | 115071003 |
Phone Number: | 5166212854 |
Fax Number: | 5166212854 |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 07/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R069724 1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |