Whitaker, Susan E.
Whitaker, Susan E. is an individual health care provider with primary practice located at 3624 Old Petersburg Rd , Martinez GA 30907-2865. 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 (706) 364-4370.Contact Information
Primary practice address
3624 Old Petersburg Rd
Martinez GA 30907-2865
Phone: (706) 364-4370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1031 | Georgia |
Profile Details
| NPI number | 1548402803 |
|---|---|
| LBN Legal business name | Whitaker, Susan E. |
| Credentials | M.ED. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2009 |
| Last updated | Apr 1st, 2009 - about 17 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 | 1548402803 | NPPES |
| Georgia | MEDICAID | SLP001031 |
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