Doctor Name: | MS. SUSAN JANE PARTENHEIMER |
NPI Number: | 1558684415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,MS,NCC,LMHC |
License Number: | 39000349A |
Business Practice Address: | 610 S Chestnut St Huntingburg, IN - 475429678 |
Business Phone Number: | 8126834019 |
Business Fax Number: | |
Mailing Address: | 610 S Chestnut St, HUNTINGBURG |
State: | IN |
Postal Code: | 475429678 |
Phone Number: | 8126834019 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2010 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39000349A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |