Provider Demographics
NPI:1083999536
Name:MCCOMBS, SUSAN MADIGAN (PHD LMSW)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:MADIGAN
Last Name:MCCOMBS
Suffix:
Gender:F
Credentials:PHD LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-1012
Mailing Address - Country:US
Mailing Address - Phone:810-772-9490
Mailing Address - Fax:810-471-4946
Practice Address - Street 1:27 CANTERBURY CT
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29909-1012
Practice Address - Country:US
Practice Address - Phone:810-772-9490
Practice Address - Fax:810-471-4946
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC116771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical