Johnston, Susan
Johnston, Susan is an sole proprietor health care provider with primary practice located at 3027 S New Haven Ave , Tulsa OK 74114-6131. 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. Johnston, Susan can be contacted via phone (918) 808-0865.Contact Information
Primary practice address
3027 S New Haven Ave
Tulsa OK 74114-6131
Phone: (918) 808-0865
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4000 | Oklahoma |
Profile Details
| NPI number | 1396290367 |
|---|---|
| LBN Legal business name | Johnston, Susan |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2016 |
| Last updated | Aug 19th, 2016 - about 10 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 | 1396290367 | NPPES |
| Oklahoma | MEDICAID | 0 |
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