Provider Demographics
NPI:1417141854
Name:DELANEY, SUSAN RODMAN (ND, NATUROPATHIC DOC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:RODMAN
Last Name:DELANEY
Suffix:
Gender:F
Credentials:ND, NATUROPATHIC DOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W WEAVER ST
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2021
Mailing Address - Country:US
Mailing Address - Phone:919-932-6262
Mailing Address - Fax:919-932-7947
Practice Address - Street 1:301 W WEAVER ST
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2021
Practice Address - Country:US
Practice Address - Phone:919-932-6262
Practice Address - Fax:919-932-7947
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR594175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath