Individual
MS. SUSANNE WILLOUGHBY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2761
(205) 510-2790
Mailing address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2761
(205) 510-2790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1936C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51535365
BLUE CROSS OF AL
AL
01
—
51537397
BCBS FEDERAL EMPLOYEE PRO
AL
01
—
630288854
AMERICAN BEHAVIORAL HEALT
AL
Enumeration date
07/10/2006
Last updated
10/28/2009
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