Davis, Susan Michele
Davis, Susan Michele is an sole proprietor health care provider with primary practice located at 416 N Bedford Dr #208, Beverly Hills CA 90210-4322. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Susan Michele can be contacted via phone (310) 274-2780.Contact Information
Primary practice address
416 N Bedford Dr #208
Beverly Hills CA 90210-4322
Phone: (310) 274-2780
Fax: (310) 274-4947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 19087 | California |
Profile Details
| NPI number | 1619005626 |
|---|---|
| LBN Legal business name | Davis, Susan Michele |
| Credentials | LCSW, BCD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| 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 | 1619005626 | NPPES |
| California | Other | LCSW 019 00 N | BLUE SHIELD OF CALIFORNIA |
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