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:
Health care specialties
| Specialty | Code | License # | 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 11 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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