Individual ProviderSusan TiegerMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5845 College Ave, Oakland, CA 94618-1635(510) 653-1793PECOS EnrollmentBased on the most recent information from CMS, provider Susan Tieger does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1730482563Provider TypeIndividualFull NameTieger, SusanTitleMs.CredentialMFTGenderFemaleSole ProprietorYesEnumeration Date12/17/2010Last Updated12/17/2010Contact InformationPractice LocationPractice Address5845 College Ave, Oakland, CA 94618-1635Phone(510) 653-1793FaxUnlisted FaxMailing LocationMailing Address5845 College Ave, Oakland, CA 94618-1635Phone(510) 653-1793FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFT15684California