Jennings, Susan R

Jennings, Susan R is an sole proprietor health care provider with primary practice located at 24165 W Ih 10 Suite 130, San Antonio TX 78257-1159. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Jennings, Susan R can be contacted via phone (210) 698-2202.

Contact Information

Primary practice address
24165 W Ih 10 Suite 130 San Antonio TX 78257-1159
Phone: (210) 698-2202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 23352 Texas

Profile Details

NPI number 1043370570
LBN Legal business name Jennings, Susan R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
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 1043370570 NPPES
Texas MEDICAID 00DX59

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