Suyat, Michelle
Suyat, Michelle is an individual health care provider with primary practice located at 233 Baseline Rd Box 400, La Verne CA 91750-2353. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Suyat, Michelle can be contacted via phone (909) 883-2986.Contact Information
Primary practice address
233 Baseline Rd Box 400
La Verne CA 91750-2353
Phone: (909) 883-2986
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 65424 | California |
Profile Details
| NPI number | 1770970444 |
|---|---|
| LBN Legal business name | Suyat, Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2015 |
| Last updated | Apr 21st, 2015 - about 11 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 | 1770970444 | NPPES |
| California | Other | 7565A | OUTPATIENT MENTAL HEALTH |
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