Doctor Name: | MRS. SUSAN NEEDY WHITCOMB |
NPI Number: | 1407969066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICS |
License Number: | 2026869 |
Business Practice Address: | 572 Route 28 West Yarmouth, MA - 026734909 |
Business Phone Number: | 5087750719 |
Business Fax Number: | |
Mailing Address: | Po Box 1212, WEST CHATHAM |
State: | MA |
Postal Code: | 026691212 |
Phone Number: | 5089450360 |
Fax Number: | 5089451978 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2026869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |