Physician Compare National (NPI:1043300692)

HEALTHCARE PROVIDER: SUSAN ELIZABETH PRICE SAYLOR LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043300692
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547324527
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110623000224
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRICE SAYLOR
	Individual professional last name
Provider First Name	SUSAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	106 2ND ST SE
	Group Practice or individual's line 1 address
City	ALTOONA
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	500091810
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M