Amory, Susan Blake
Amory, Susan Blake is an sole proprietor health care provider with primary practice located at 300 E 17Th St , Cheyenne WY 82001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Amory, Susan Blake can be contacted via phone (307) 631-9931.Contact Information
Primary practice address
300 E 17Th St
Cheyenne WY 82001
Phone: (307) 631-9931
Fax: (307) 635-7706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 235 | Wyoming |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1725 | Wyoming |
Profile Details
| NPI number | 1679975635 |
|---|---|
| LBN Legal business name | Amory, Susan Blake |
| Credentials | CSW, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2014 |
| Last updated | Jul 31st, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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