Blackwell, Susan Joann

Blackwell, Susan Joann is an individual health care provider with primary practice located at 310 S Prospect Ave Apt 7 , Redondo Beach CA 90277-3545. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Blackwell, Susan Joann can be contacted via phone (310) 373-4556.

Contact Information

Primary practice address
310 S Prospect Ave Apt 7 Redondo Beach CA 90277-3545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1942335690
LBN Legal business name Blackwell, Susan Joann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
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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