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NPI Code Detail

MEDICARE: SUSAN HAZEL SPEER L.C.S.W.

MEDICARE: SUSAN HAZEL SPEER L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS21039CA

General Provider Information

NPI Number : 1629152384
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN HAZEL SPEER L.C.S.W.
Provider Business Mailing Address
First Line : 1911 WILLIAMS DRIVE
Second Line : SUITE 200
City : OXNARD
State : CA
Zip : 93036-0673
Country : US
Telephone Number : 805-205-5311
Fax Number :
Provider Business Practice Location Address
First Line : 1911 WILLIAMS DRIVE
Second Line : SUITE 200
City : OXNARD
State : CA
Zip : 93036-0673
Country : US
Telephone Number : 805-205-5311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 10/19/2010

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Directions to “ SUSAN HAZEL SPEER L.C.S.W.” Practice Location

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