Board, Suziliene Ayanna

Board, Suziliene Ayanna is an sole proprietor health care provider with primary practice located at 1788 Wilmington Pike Suite 107, Glen Mills PA 19342-8181. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Board, Suziliene Ayanna can be contacted via phone (610) 952-4558.

Contact Information

Primary practice address
1788 Wilmington Pike Suite 107 Glen Mills PA 19342-8181
Phone: (610) 952-4558
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS015303 Pennsylvania
Behavioral Health & Social Service Providers / School 103TS0200X 9847267 Pennsylvania

Profile Details

NPI number 1396803276
LBN Legal business name Board, Suziliene Ayanna
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Oct 26th, 2009 - about 15 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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