Bucker, Susan Ida

Bucker, Susan Ida is an individual health care provider with primary practice located at 4721 Dallas Ranch Rd , Antioch CA 94531-8811. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bucker, Susan Ida can be contacted via phone (925) 778-0679.

Contact Information

Primary practice address
4721 Dallas Ranch Rd Antioch CA 94531-8811
Phone: (925) 778-0679
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LF7775 California

Profile Details

NPI number 1588935050
LBN Legal business name Bucker, Susan Ida
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2012
Last updated Nov 5th, 2014 - about 10 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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