Vicksman, Susan
Vicksman, Susan is an sole proprietor health care provider with primary practice located at 19284 Cottonwood Dr Suite 101, Parker CO 80138-3882. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Vicksman, Susan can be contacted via phone (720) 777-9068.Contact Information
Primary practice address
19284 Cottonwood Dr Suite 101
Parker CO 80138-3882
Phone: (720) 777-9068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 59 | Colorado |
Profile Details
| NPI number | 1528504867 |
|---|---|
| LBN Legal business name | Vicksman, Susan |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2017 |
| Last updated | Jan 10th, 2017 - about 9 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 | 1528504867 | NPPES |
| Colorado | Other | 59 | COLORADO STATE CERTIFICATION |
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