Provider Demographics
NPI:1265751663
Name:KAYSER, SUSAN JANE (MENTAL HEALTH COUNSE)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:JANE
Last Name:KAYSER
Suffix:
Gender:F
Credentials:MENTAL HEALTH COUNSE
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:JANE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:500 TRINITY LANE NORTH
Mailing Address - Street 2:SUITE 1205
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716
Mailing Address - Country:US
Mailing Address - Phone:727-902-1152
Mailing Address - Fax:
Practice Address - Street 1:500 TRINITY LANE NORTH
Practice Address - Street 2:SUITE 1205
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716
Practice Address - Country:US
Practice Address - Phone:727-902-1152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMH962101YM0800X
TNLPC663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health