Roth, Susan S
Roth, Susan S is an sole proprietor health care provider with primary practice located at 3107 N Peary St , Arlington VA 22207-5355. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roth, Susan S can be contacted via phone (703) 516-0304.Contact Information
Primary practice address
3107 N Peary St
Arlington VA 22207-5355
Phone: (703) 516-0304
Fax: (703) 516-0305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | VA0904000691 | Virginia |
Profile Details
| NPI number | 1174518476 |
|---|---|
| LBN Legal business name | Roth, Susan S |
| Credentials | LCSW DCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 30th, 2014 - about 12 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 | 1174518476 | NPPES |
| Other | 78400590 | UBH | |
| Other | 2454001 | UBH |
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