Provider Demographics
NPI:1003486531
Name:DR. SUSAN L DELANEY PLLC
Entity Type:Organization
Organization Name:DR. SUSAN L DELANEY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:814-713-2642
Mailing Address - Street 1:608 N NAGLE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-1134
Mailing Address - Country:US
Mailing Address - Phone:713-264-2288
Mailing Address - Fax:713-581-3832
Practice Address - Street 1:608 N NAGLE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-1134
Practice Address - Country:US
Practice Address - Phone:713-264-2288
Practice Address - Fax:713-581-3832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX72838OtherLICENSED PROFESSIONAL C OUNSELOR