Doctor Name: | SUSAN HARRISON |
NPI Number: | 1588077648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSED. |
License Number: | |
Business Practice Address: | 2316 5th Ave Moline, IL - 612651530 |
Business Phone Number: | 3097625433 |
Business Fax Number: | 3097624481 |
Mailing Address: | 2316 5th Ave, MOLINE |
State: | IL |
Postal Code: | 612651530 |
Phone Number: | 3097625433 |
Fax Number: | 3097624481 |
NPI Enumeration Date: | 06/06/2014 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |