Niedenthal, Susan Adams

Niedenthal, Susan Adams is an individual health care provider with primary practice located at 6330 Newtown Rd Suite 300, Norfolk VA 23502-4802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Niedenthal, Susan Adams can be contacted via phone (757) 466-3336.

Contact Information

Primary practice address
6330 Newtown Rd Suite 300 Norfolk VA 23502-4802
Phone: (757) 466-3336
Fax: (757) 455-5750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003228 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701003288 Virginia

Profile Details

NPI number 1003902693
LBN Legal business name Niedenthal, Susan Adams
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 17th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003902693 NPPES
Virginia MEDICAID 5413010
Virginia MEDICAID 005413010

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