Doctor Name: | SUSAN ADELE WHEELER |
NPI Number: | 1881777308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCMH CCDC3 |
License Number: | LPCMH2072 |
Business Practice Address: | 2920 Sheridan Lake Road Rapid City, SD - 577025350 |
Business Phone Number: | 6053480477 |
Business Fax Number: | 6053480479 |
Mailing Address: | 2920 Sheridan Lake Road, RAPID CITY |
State: | SD |
Postal Code: | 577025350 |
Phone Number: | 6053480477 |
Fax Number: | 6053480479 |
NPI Enumeration Date: | 10/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPCMH2072 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SD |
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 |