O'Shea, Susan

O'Shea, Susan is an individual health care provider with primary practice located at 1404 Golf Park Dr , Lake Ariel PA 18436-4252. 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. O'Shea, Susan can be contacted via phone (570) 698-5647.

Contact Information

Primary practice address
1404 Golf Park Dr Lake Ariel PA 18436-4252
Phone: (570) 698-5647
Fax: (570) 698-7742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL001170L Pennsylvania

Profile Details

NPI number 1013325869
LBN Legal business name O'Shea, Susan
Credentials M.S.SLPCCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2014
Last updated Jul 24th, 2014 - about 12 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 1013325869 NPPES
Pennsylvania Other 101802 FACILITY LICENSE NUMBER
Pennsylvania MEDICAID 102602636-0001 FACILITY LICENSE NUMBER

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