Wilson, Suzanne D
Wilson, Suzanne D is an individual health care provider with primary practice located at 2201 Hillcrest Drive , Anderson IN 46012-4305. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wilson, Suzanne D can be contacted via phone (765) 298-4600.Contact Information
Primary practice address
2201 Hillcrest Drive
Anderson IN 46012-4305
Phone: (765) 298-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35001153A | Indiana |
Profile Details
| NPI number | 1295921476 |
|---|---|
| LBN Legal business name | Wilson, Suzanne D |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Aug 3rd, 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 | 1295921476 | NPPES |
| Indiana | MEDICAID | 100270530A |
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