Provider Demographics
NPI:1205106622
Name:DEY, SUSAN LOUISE (MSW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:LOUISE
Last Name:DEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:SUSAN
Other - Middle Name:LOUISE
Other - Last Name:TRUXA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:687 CHESHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-5060
Mailing Address - Country:US
Mailing Address - Phone:541-684-4100
Mailing Address - Fax:541-684-4156
Practice Address - Street 1:687 CHESHIRE AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-5060
Practice Address - Country:US
Practice Address - Phone:541-684-4100
Practice Address - Fax:541-684-4156
Is Sole Proprietor?:No
Enumeration Date:2012-01-02
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical