Roller, Susan
Roller, Susan is an sole proprietor health care provider with primary practice located at 3411 Westside Cv , Austin TX 78731-4262. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Roller, Susan can be contacted via phone (512) 450-0765.Contact Information
Primary practice address
3411 Westside Cv
Austin TX 78731-4262
Phone: (512) 450-0765
Fax: (512) 450-1287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 15235 | Texas |
Profile Details
| NPI number | 1396808077 |
|---|---|
| LBN Legal business name | Roller, Susan |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396808077 | NPPES |
| Texas | Other | 15235 | L.P.C. |
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