Gerlick, Susan Diane

Gerlick, Susan Diane is an sole proprietor health care provider with primary practice located at 1860 N Pine Island Rd Suite 101, Plantation FL 33322. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gerlick, Susan Diane can be contacted via phone (954) 370-5097.

Contact Information

Primary practice address
1860 N Pine Island Rd Suite 101 Plantation FL 33322
Phone: (954) 370-5097
Fax: (561) 433-1448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1972761518
LBN Legal business name Gerlick, Susan Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2008
Last updated May 30th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972761518 NPPES
Florida Other Z5118 BLUE CROSS BLUE SHIELD

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