Most Relevant Information
Provider Data
| NPI Number: | 1003243817 |
| Provider Name: | SUSAN HATAMI |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 44SC05759800 |
Most Important Dates
| Enumeration Date: | 10/11/2013 |
| Last Updated: | 01/22/2018 |
Provider Practice Location
1011 BOND ST
ASBURY PARK
NJ
077125939
Practice Location Phone/Fax
| Phone: | 7328692769 |
| Fax: |
Provider Mailing Location
1200 JUMPING BROOK RD
BLDG 5, STE 201, ATTN: BEHAVIORAL HEALTH CREDENTIALING
NEPTUNE
NJ
07753
Provider Mailing Phone/Fax
| Phone: | 7326434372 |
| Fax: |