MEDICARE: SUSAN HARNDEN LCSW

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
1	1041C0700X	Clinical Social Worker	13620	TX

General Provider Information

NPI Number	:	1992768097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN HARNDEN LCSW

Provider Business Mailing Address
First Line	:	805 E 32ND ST
Second Line	:	SUITE 101
City	:	AUSTIN
State	:	TX
Zip	:	78705-2537
Country	:	US
Telephone Number	:	512-784-4445
Fax Number	:	512-481-1900

Provider Business Practice Location Address
First Line	:	805 E 32ND ST
Second Line	:	SUITE 101
City	:	AUSTIN
State	:	TX
Zip	:	78705-2537
Country	:	US
Telephone Number	:	512-784-4445
Fax Number	:	512-481-1900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	07/08/2007

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