Prince, Susan

Prince, Susan is an sole proprietor health care provider with primary practice located at 5676 Stage Rd , Bartlett TN 38134-4578. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prince, Susan can be contacted via phone (901) 210-7463.

Contact Information

Primary practice address
5676 Stage Rd Bartlett TN 38134-4578
Phone: (901) 210-7463
Fax: (901) 347-1330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3033 Tennessee

Profile Details

NPI number 1710008396
LBN Legal business name Prince, Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Sep 7th, 2022 - about 4 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 1710008396 NPPES
Tennessee MEDICAID 3920072
Tennessee Other 4177584

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