Bevis, Suzanne Mary
Bevis, Suzanne Mary is an sole proprietor health care provider with primary practice located at 107 W Main St , East Islip NY 11730-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bevis, Suzanne Mary can be contacted via phone (631) 666-1615.Contact Information
Primary practice address
107 W Main St
East Islip NY 11730-2337
Phone: (631) 666-1615
Fax: (631) 666-1709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 080202 | New York |
Profile Details
| NPI number | 1134465834 |
|---|---|
| LBN Legal business name | Bevis, Suzanne Mary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2012 |
| Last updated | Oct 11th, 2018 - about 6 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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