Provider Demographics
NPI:1013160506
Name:HUSSER, ANNEMARIE (MA)
Entity type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:
Last Name:HUSSER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 CIVIC DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-1257
Mailing Address - Country:US
Mailing Address - Phone:847-524-1505
Mailing Address - Fax:
Practice Address - Street 1:217 CIVIC DR
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-1257
Practice Address - Country:US
Practice Address - Phone:847-524-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-005426101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional