Search › Texas › 101YM0800X
Susan Wade, LCSW
NPI 1518073311 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1624 Enderly Pl
Fort Worth, TX 76104 - Phone
- (817) 207-0042
- Fax
- (817) 887-4649
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 1041C0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-13
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 Texas