Individual
MS. SUSAN CHAMBERLAIN HAYMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS LPC-MH QMHP
Contact information
Practice address
2404 JACKSON BLVD, RAPID CITY, SD 57702-3450
(605) 737-0769
(605) 721-1196
Mailing address
3405 LELAND LN, RAPID CITY, SD 57702-3459
(605) 737-0769
(605) 721-1196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH 2081
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4997001
BLUE CROSS/BLUE SHIELD
SD
05
—
6575560
—
SD
Enumeration date
02/15/2006
Last updated
07/08/2007
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