Coffey, Susan Taylor
Coffey, Susan Taylor is an sole proprietor health care provider with primary practice located at 224 Colquitt Dr , Wilmington NC 28412-3175. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Coffey, Susan Taylor can be contacted via phone (910) 793-0118.Contact Information
Primary practice address
224 Colquitt Dr
Wilmington NC 28412-3175
Phone: (910) 793-0118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6530 | North Carolina |
Profile Details
| NPI number | 1093850497 |
|---|---|
| LBN Legal business name | Coffey, Susan Taylor |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093850497 | NPPES |
| North Carolina | Other | 6530 | NC LICENSE NUMBER |
| North Carolina | Other | 12018222 | NC LICENSE NUMBER |
| North Carolina | MEDICAID | 7412172 | NC LICENSE NUMBER |
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