Agnew, Susan Marie

Agnew, Susan Marie is an individual health care provider with primary practice located at 4460 Bay View Rd , Hamburg NY 14075-1335. 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. Agnew, Susan Marie can be contacted via phone (716) 926-1740.

Contact Information

Primary practice address
4460 Bay View Rd Hamburg NY 14075-1335
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 006535 New York

Profile Details

NPI number 1881971430
LBN Legal business name Agnew, Susan Marie
Credentials MSCCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2011
Last updated Nov 10th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881971430 NPPES
New York MEDICAID 01390945

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