Provider Demographics
NPI:1124040928
Name:HARDING, SUSAN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:MARIE
Last Name:HARDING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 LONGVIEW
Mailing Address - Street 2:#312
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-4234
Mailing Address - Country:US
Mailing Address - Phone:512-479-0771
Mailing Address - Fax:
Practice Address - Street 1:2520 LONGVIEW
Practice Address - Street 2:#312
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-4234
Practice Address - Country:US
Practice Address - Phone:512-479-0771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor