Burgess, Susan Dickens
Burgess, Susan Dickens is an individual health care provider with primary practice located at 5724 Dunn Hall Room 336 University Of Maine, Orono ME 04469-5724. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burgess, Susan Dickens can be contacted via phone (207) 581-2008.Contact Information
Primary practice address
5724 Dunn Hall Room 336 University Of Maine
Orono ME 04469-5724
Phone: (207) 581-2008
Fax: (207) 581-2060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP934 | Maine |
Profile Details
| NPI number | 1861551996 |
|---|---|
| LBN Legal business name | Burgess, Susan Dickens |
| Credentials | MA CCCSLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861551996 | NPPES |
| Maine | Other | 027997 | ANTHEM BCBS |
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