Search › New York › 1041C0700X
Susan Gydesen, LCSW
NPI 1144431511 · on the registry since 2007 · sole proprietor
Practice
- Address
- 120 Schuyler St
Boonville, NY 13309 - Phone
- (315) 942-4252
- Organisation at this address
- Mountain Mental Health Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York