Landis, Suzanne A

Landis, Suzanne A is an individual health care provider with primary practice located at 100 Selma Ave , Webster Groves MO 63119-3107. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Landis, Suzanne A can be contacted via phone (314) 918-4281.

Contact Information

Primary practice address
100 Selma Ave Webster Groves MO 63119-3107
Phone: (314) 918-4281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2000148174 Missouri
Behavioral Health & Social Service Providers / School 101YS0200X 2000148174 Missouri

Profile Details

NPI number 1194999045
LBN Legal business name Landis, Suzanne A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Oct 5th, 2018 - about 8 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 1194999045 NPPES
Missouri MEDICAID 1194999045

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