Heguy, Susannah Jane

Heguy, Susannah Jane is an individual health care provider with primary practice located at 17-07 Romaine Street , Fair Lawn NJ 07410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heguy, Susannah Jane can be contacted via phone (201) 797-2660.

Contact Information

Primary practice address
17-07 Romaine Street Fair Lawn NJ 07410
Phone: (201) 797-2660
Fax: (201) 797-4895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05226000 New Jersey

Profile Details

NPI number 1437216215
LBN Legal business name Heguy, Susannah Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437216215 NPPES
New Jersey MEDICAID 0020176
New Jersey Other 44SC05226000

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