Doctor Name: | MS. SUSAN ELIZABETH RENSBERGER |
NPI Number: | 1508902966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 219 |
Business Practice Address: | 157 Twin Oaks Dr. Raceland, LA - 70394 |
Business Phone Number: | 9855376823 |
Business Fax Number: | 9855375519 |
Mailing Address: | Po Box B, RACELAND |
State: | LA |
Postal Code: | 70394 |
Phone Number: | 9855376823 |
Fax Number: | 9855375519 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |