| NPI Details | |
|---|---|
| NPI | 1770622417 |
| Gender | Female |
| Enumeration Date | 02/06/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 3724 JEFFERSON ST STE # 212 AUSTIN TX, 78731-6225, US |
|
| Phone | (512) 451-2854 |
| Fax | |
| Business Location | |
|---|---|
| 3724 JEFFERSON ST STE # 212 AUSTIN TX, 78731-6225, US |
|
| Phone | (512) 451-2854 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1041C0700X |
| License State | Texas |
| License Number | SO 7619 |
| Remove 1770622417 NPI Number | |
According to our database, Susan Heisel LCSW, LMFT NPI is 1770622417, taxonomy code is 1041C0700X and license number is SO 7619, license state is located at Texas. Susan Heisel LCSW, LMFT physically located at 3724 Jefferson St, Austin TX, 78731-6225. NPI Number Susan Heisel LCSW, LMFT has the Individual type.
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1770622417 NPI number is provided on an as is basis without warranty of any kind. 1770622417 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Heisel LCSW, LMFT are for informational purposes only.
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