Connell, Susan Dale
Connell, Susan Dale is an individual health care provider with primary practice located at 26420 Kensington Pl Ste C, Daphne AL 36526-5120. 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. Connell, Susan Dale can be contacted via phone (251) 517-0355.Contact Information
Primary practice address
26420 Kensington Pl Ste C
Daphne AL 36526-5120
Phone: (251) 517-0355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3666 | Alabama |
Profile Details
| NPI number | 1306271549 |
|---|---|
| LBN Legal business name | Connell, Susan Dale |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2013 |
| Last updated | Mar 8th, 2017 - about 9 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 | 1306271549 | NPPES |
| Florida | MEDICAID | 70CS07FL03090003002 |
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