| Doctor Name: | MRS. SUSAN DIANE REUSSER |
| NPI Number: | 1609825934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 34003845A |
| Business Practice Address: | 2121 Lake Ave Va-nihcs Ft Wayne, IN - 468055100 |
| Business Phone Number: | 2604265431 |
| Business Fax Number: | 2604601481 |
| Mailing Address: | 4201 Medical Drive Suite 280, Stv Hcs-hchv Bluffcreek Towers SAN ANTONIO |
| State: | TX |
| Postal Code: | 78229 |
| Phone Number: | 2106169915 |
| Fax Number: | 2106169710 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 12/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34003845A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |