Provider Demographics
NPI:1477893956
Name:HAYES, SUSAN E (MS, CRC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:E
Last Name:HAYES
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:SUSAN
Other - Last Name:EWING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2410 W MEMORIAL RD
Mailing Address - Street 2:SUITE C#435
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-8047
Mailing Address - Country:US
Mailing Address - Phone:405-226-9747
Mailing Address - Fax:
Practice Address - Street 1:1330 N CLASSEN BLVD
Practice Address - Street 2:SUITE 214
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6835
Practice Address - Country:US
Practice Address - Phone:405-601-6710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor