Willis, Susan E

Willis, Susan E is an sole proprietor health care provider with primary practice located at 1625 The Alameda Suite 404, San Jose CA 95126-2220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Willis, Susan E can be contacted via phone (650) 464-7323.

Contact Information

Primary practice address
1625 The Alameda Suite 404 San Jose CA 95126-2220
Phone: (650) 464-7323
Fax: (408) 554-2654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY9172 California
Behavioral Health & Social Service Providers / Health 103TH0004X PSY9172 California

Profile Details

NPI number 1467652180
LBN Legal business name Willis, Susan E
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2007
Last updated Jun 7th, 2010 - about 16 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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