Provider Demographics
NPI:1497217079
Name:BALDWIN, SUE ASHE (EDD, BCPP,)
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:ASHE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:EDD, BCPP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918B WHISPER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9816
Mailing Address - Country:US
Mailing Address - Phone:336-662-7408
Mailing Address - Fax:
Practice Address - Street 1:1601 TWAIN RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-4114
Practice Address - Country:US
Practice Address - Phone:336-662-7408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral