Doctor Name: | MRS. SUSIE HARTZ |
NPI Number: | 1982944518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA |
License Number: | |
Business Practice Address: | 2090 W M 32 Suite B Gaylord, MI - 497357341 |
Business Phone Number: | 9897326761 |
Business Fax Number: | 9897326763 |
Mailing Address: | 2090 W M 32, Suite B GAYLORD |
State: | MI |
Postal Code: | 497357341 |
Phone Number: | 9897326761 |
Fax Number: | 9897326763 |
NPI Enumeration Date: | 02/19/2013 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |