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
Phone: (623) 842-8148
Fax: (623) 435-9404
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396877155 | NPPES |
Arizona | MEDICAID | 133300 |
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