Randall, Susan D
Randall, Susan D is an sole proprietor health care provider with primary practice located at 545 Rowlett Rd Suite A Or B, Garland TX 75043-3700. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Randall, Susan D can be contacted via phone (972) 303-7021.Contact Information
Primary practice address
545 Rowlett Rd Suite A Or B
Garland TX 75043-3700
Phone: (972) 303-7021
Fax: (972) 303-7020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 35954 | Texas |
Profile Details
| NPI number | 1316243827 |
|---|---|
| LBN Legal business name | Randall, Susan D |
| Credentials | A-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2011 |
| Last updated | Jan 31st, 2011 - about 15 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 | 1316243827 | NPPES |
| Texas | MEDICAID | 207164901 | |
| Texas | MEDICAID | 149984001 |
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