NPI 1023148376

Susan Ann Waterman, LCSW

Practitioner Clinical Social Worker Medford, OR

Practice location

Address: 107 E Main St Suite 7, Medford, OR 97501-6048
Phone: (541) 772-2791
Fax: (541) 772-2791

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 1273 (OR)

Other Social Worker providers in Oregon →

Registry record

NPI: 1023148376
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.