Provider Demographics
NPI:1467741041
Name:SCHEUBER, SUSAN LONDA (LASW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:LONDA
Last Name:SCHEUBER
Suffix:
Gender:F
Credentials:LASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8204 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7362
Mailing Address - Country:US
Mailing Address - Phone:702-523-6745
Mailing Address - Fax:702-822-1558
Practice Address - Street 1:2810 W CHARLESTON BLVD
Practice Address - Street 2:70
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1921
Practice Address - Country:US
Practice Address - Phone:702-822-1556
Practice Address - Fax:702-822-1558
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor