Provider Demographics
NPI:1568682573
Name:MEYERS, SUSAN (LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:MEYERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3127
Mailing Address - Country:US
Mailing Address - Phone:785-623-4836
Mailing Address - Fax:
Practice Address - Street 1:205 E 7TH ST
Practice Address - Street 2:SUITE 215
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-4161
Practice Address - Country:US
Practice Address - Phone:785-621-4375
Practice Address - Fax:785-621-4379
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC 761101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional