Bartlett, Susan
Bartlett, Susan is an individual health care provider with primary practice located at 850 Bolton Rd # U-85 , Storrs Mansfield CT 06269-9020. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bartlett, Susan can be contacted via phone (860) 486-2629.Contact Information
Primary practice address
850 Bolton Rd # U-85
Storrs Mansfield CT 06269-9020
Phone: (860) 486-2629
Fax: (860) 486-5422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 000626 | Connecticut |
Profile Details
| NPI number | 1114923638 |
|---|---|
| LBN Legal business name | Bartlett, Susan |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Apr 15th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114923638 | NPPES |
| Connecticut | MEDICAID | 004070496 |
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