Healthcare Provider Details

I. General information

NPI: 1396982187
Provider Name (Legal Business Name): SUSAN SCHUSTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2009
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 W. SEED FARM RD.
SACATON AZ
85247
US

IV. Provider business mailing address

483 W. SEED FARM RD.
SACATON AZ
85247
US

V. Phone/Fax

Practice location:
  • Phone: 602-528-1340
  • Fax: 602-528-1296
Mailing address:
  • Phone: 602-528-7100
  • Fax: 602-528-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC 11900
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: