Brodsly, Suzanne

Brodsly, Suzanne is an sole proprietor health care provider with primary practice located at 16480 Harbor Blvd Ste 103 , Fountain Valley CA 92708-1361. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brodsly, Suzanne can be contacted via phone (714) 418-9606.

Contact Information

Primary practice address
16480 Harbor Blvd Ste 103 Fountain Valley CA 92708-1361
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS18902 California

Profile Details

NPI number 1790875409
LBN Legal business name Brodsly, Suzanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 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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