Bourg, Susan

Bourg, Susan is an individual health care provider with primary practice located at 248 E Glenn Ave , Auburn AL 36830-4818. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bourg, Susan can be contacted via phone (334) 821-3350.

Contact Information

Primary practice address
248 E Glenn Ave Auburn AL 36830-4818
Fax: (334) 821-3252
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1166 Alabama

Profile Details

NPI number 1851499925
LBN Legal business name Bourg, Susan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851499925 NPPES
Alabama Other 51509821 BCBS

Popular Providers