Allen, Susan L

Allen, Susan L is an sole proprietor health care provider with primary practice located at 3011 E 1St St , Mountain Home AR 72653-3700. 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. Allen, Susan L can be contacted via phone (870) 424-3266.

Contact Information

Primary practice address
3011 E 1St St Mountain Home AR 72653-3700
Phone: (870) 424-3266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#955 Arkansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 00197376 Maryland

Profile Details

NPI number 1427203520
LBN Legal business name Allen, Susan L
Credentials M.A./CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2008
Last updated Nov 18th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427203520 NPPES
Arkansas MEDICAID 126434721

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