Roach, Suzanne Renae
Roach, Suzanne Renae is an sole proprietor health care provider with primary practice located at 4320 Annadale Cir , Jonesboro AR 72404-9508. 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. Roach, Suzanne Renae can be contacted via phone (870) 931-9374.Contact Information
Primary practice address
4320 Annadale Cir
Jonesboro AR 72404-9508
Phone: (870) 931-9374
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP1968 | Arkansas |
Profile Details
| NPI number | 1902983059 |
|---|---|
| LBN Legal business name | Roach, Suzanne Renae |
| Credentials | MCD, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1902983059 | NPPES |
| Arkansas | Other | 5X140 | BLUE CROSS |
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