Tavano, Suzanne Kathryn
Tavano, Suzanne Kathryn is an individual health care provider with primary practice located at 20 N San Pedro Rd , San Rafael CA 94903-4188. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tavano, Suzanne Kathryn can be contacted via phone (925) 286-5056.Contact Information
Primary practice address
20 N San Pedro Rd
San Rafael CA 94903-4188
Phone: (925) 286-5056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY9950 | California |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | W213270 | California |
Profile Details
| NPI number | 1992189351 |
|---|---|
| LBN Legal business name | Tavano, Suzanne Kathryn |
| Credentials | RN, PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2015 |
| Last updated | Jul 24th, 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.
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