Phillips, Susan L

Phillips, Susan L is an individual health care provider with primary practice located at 524 Highland Avenue , Greensboro NC 27402-6170. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Phillips, Susan L can be contacted via phone (336) 334-5184.

Contact Information

Primary practice address
524 Highland Avenue Greensboro NC 27402-6170
Phone: (336) 334-5184
Fax: (336) 334-4475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 4916 North Carolina

Profile Details

NPI number 1780682930
LBN Legal business name Phillips, Susan L
Credentials PHD CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 20th, 2007 - about 19 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 1780682930 NPPES
North Carolina Other 4916 AUDIOLOGY LICENSE
North Carolina Other 953 AUDIOLOGY LICENSE

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