| Doctor Name: | SUSAN VOGL |
| NPI Number: | 1588052070 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2078 Wallum Lake Rd Pascoag, RI - 028591813 |
| Business Phone Number: | 4013314250 |
| Business Fax Number: | |
| Mailing Address: | 99 Wayland Ave Ste 100, PROVIDENCE |
| State: | RI |
| Postal Code: | 029064314 |
| Phone Number: | 4013314250 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2015 |
| NPI Last Update Date: | 01/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |