Healea, Susan K

Healea, Susan K is an individual health care provider with primary practice located at 820 11Th Ave , Longview WA 98632-2402. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Healea, Susan K can be contacted via phone (360) 423-0960.

Contact Information

Primary practice address
820 11Th Ave Longview WA 98632-2402
Phone: (360) 423-0960
Fax: (360) 423-8778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00000957 Washington
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X LD00000957 Washington

Profile Details

NPI number 1912947722
LBN Legal business name Healea, Susan K
Credentials MA-CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 29th, 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 1912947722 NPPES
Washington Other 06222 REGENCE
Washington MEDICAID 9029919 REGENCE
Washington Other 0123184 REGENCE

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