Doctor Name: | SUSAN K MCGAUGHEY |
NPI Number: | 1720288616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1693-C |
Business Practice Address: | 250 E Centerton Blvd Centerton, AR - 727199240 |
Business Phone Number: | 4797951802 |
Business Fax Number: | 4797950332 |
Mailing Address: | 4171 N Crossover Rd, FAYETTEVILLE |
State: | AR |
Postal Code: | 727034591 |
Phone Number: | 4795211532 |
Fax Number: | 4795219940 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1693-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |