Doctor Name: | MS. SUSAN C. SMITH |
NPI Number: | 1619008430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R032627-1 |
Business Practice Address: | 46 Nelson St Cazenovia, NY - 130351307 |
Business Phone Number: | 3158822734 |
Business Fax Number: | 3154434146 |
Mailing Address: | 46 Nelson St, CAZENOVIA |
State: | NY |
Postal Code: | 130351307 |
Phone Number: | 3158822734 |
Fax Number: | 3154434146 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 08/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R032627-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |