Whitaker, Susan E
Whitaker, Susan E is an sole proprietor health care provider with primary practice located at 2208 Park Marina Dr , Redding CA 96001-2111. 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. Whitaker, Susan E can be contacted via phone (530) 244-0263.Contact Information
Primary practice address
2208 Park Marina Dr
Redding CA 96001-2111
Phone: (530) 244-0263
Fax: (530) 247-0688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP3559 | California |
Profile Details
| NPI number | 1336113737 |
|---|---|
| LBN Legal business name | Whitaker, Susan E |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | May 29th, 2019 - about 7 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 | 1336113737 | NPPES |
| California | MEDICAID | ZZZ819472 |
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