Self, Susan
Self, Susan is an sole proprietor health care provider with primary practice located at 13460 N 94Th Dr Suite J2, Peoria AZ 85381-4835. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Self, Susan can be contacted via phone (623) 487-7763.Contact Information
Primary practice address
13460 N 94Th Dr Suite J2
Peoria AZ 85381-4835
Phone: (623) 487-7763
Fax: (623) 486-8276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-0947 | Arizona |
Profile Details
| NPI number | 1134521370 |
|---|---|
| LBN Legal business name | Self, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2014 |
| Last updated | Sep 18th, 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.
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