| Doctor Name: | MRS. SUSAN SPINA |
| NPI Number: | 1518141464 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSW-R |
| License Number: | 6227983UPD |
| Business Practice Address: | 327 Oriskany Blvd Whitesboro, NY - 13492 |
| Business Phone Number: | 3157687181 |
| Business Fax Number: | 3157687182 |
| Mailing Address: | 29 Country Club Dr, NEW YORK MILLS |
| State: | NY |
| Postal Code: | 13417 |
| Phone Number: | 3157687168 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2007 |
| NPI Last Update Date: | 12/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6227983UPD |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |