Beall, Susan

Beall, Susan is an individual health care provider with primary practice located at 1250 W Dorothy Ln Ste 210, Dayton OH 45409-1317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Beall, Susan can be contacted via phone (937) 296-1007.

Contact Information

Primary practice address
1250 W Dorothy Ln Ste 210 Dayton OH 45409-1317
Phone: (937) 296-1007
Fax: (937) 395-0607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X I-0005030 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I-0005030 Ohio

Profile Details

NPI number 1184604753
LBN Legal business name Beall, Susan
Credentials BSSW MSW ACSW LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184604753 NPPES
Ohio Other 62-09745 UNITED BEHAVIORAL HEALTH
Ohio Other 7979584 UNITED BEHAVIORAL HEALTH
Ohio Other 000000274795 UNITED BEHAVIORAL HEALTH

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