| Doctor Name: | MS. SUSAN KAY SMALL |
| NPI Number: | 1417121401 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 910312 |
| Business Practice Address: | 19366 Allen Rd Suite C Brownstown Twp, MI - 481836809 |
| Business Phone Number: | 7344790949 |
| Business Fax Number: | 7344791637 |
| Mailing Address: | 1547 S Wayne Rd, WESTLAND |
| State: | MI |
| Postal Code: | 481865436 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2008 |
| NPI Last Update Date: | 04/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 910312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |