Dawson, Susan L

Dawson, Susan L is an individual health care provider with primary practice located at 7301 N 58Th Ave , Glendale AZ 85301-1893. 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. Dawson, Susan L can be contacted via phone (623) 842-8148.

Contact Information

Primary practice address
7301 N 58Th Ave Glendale AZ 85301-1893
Fax: (623) 435-9404
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X TSLP5118 Arizona

Profile Details

NPI number 1396877155
LBN Legal business name Dawson, Susan L
Credentials M.A. SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1396877155 NPPES
Arizona MEDICAID 133300

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