Provider Demographics
NPI:1548748593
Name:MARKUS, SUSAN F (MS, LPC, PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:F
Last Name:MARKUS
Suffix:
Gender:F
Credentials:MS, LPC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4318 GREEN PRAIRIE PL
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-2303
Mailing Address - Country:US
Mailing Address - Phone:307-274-6292
Mailing Address - Fax:
Practice Address - Street 1:4318 GREEN PRAIRIE PL
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-2303
Practice Address - Country:US
Practice Address - Phone:307-274-6292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-403101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health