Lederer, Sue Mirandy

Lederer, Sue Mirandy is an sole proprietor health care provider with primary practice located at 28 High St , Greenfield MA 01301-2973. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lederer, Sue Mirandy can be contacted via phone (413) 773-1966.

Contact Information

Primary practice address
28 High St Greenfield MA 01301-2973
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089-0000688 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1015428 Massachusetts

Profile Details

NPI number 1114977253
LBN Legal business name Lederer, Sue Mirandy
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Dec 12th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114977253 NPPES
Vermont MEDICAID 1010327

Popular Providers