Provider Demographics
NPI:1043300692
Name:PRICE SAYLOR, SUSAN ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:PRICE SAYLOR
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:2525 N ANKENY BLVD
Mailing Address - Street 2:STE 113
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4708
Mailing Address - Country:US
Mailing Address - Phone:406-563-2859
Mailing Address - Fax:
Practice Address - Street 1:2525 N ANKENY BLVD
Practice Address - Street 2:STE 113
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4708
Practice Address - Country:US
Practice Address - Phone:515-289-9136
Practice Address - Fax:515-289-9139
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2018-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA25911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2703955Medicaid