Miller, Suzanne L
Miller, Suzanne L is an individual health care provider with primary practice located at 110 Main Ave , Passaic NJ 07055-4427. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Suzanne L can be contacted via phone (973) 777-7638.Contact Information
Primary practice address
110 Main Ave
Passaic NJ 07055-4427
Phone: (973) 777-7638
Fax: (973) 777-9311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00601200 | New Jersey |
Profile Details
| NPI number | 1033120878 |
|---|---|
| LBN Legal business name | Miller, Suzanne L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Nov 24th, 2020 - about 6 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 | 1033120878 | NPPES |
| New Jersey | MEDICAID | 0021784 | |
| New Jersey | Other | P-435707 | |
| New Jersey | Other | 7908369 | |
| New Jersey | MEDICAID | 0263184 | |
| New Jersey | Other | 017236 | |
| New Jersey | Other | 145813 000 |
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