Douglass-Everhard, Suzyn Mary

Douglass-Everhard, Suzyn Mary is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Douglass-Everhard, Suzyn Mary can be contacted via phone (270) 798-8400.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 798-8400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X KY-0854 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 64067 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 172576 Kentucky

Profile Details

NPI number 1982762357
LBN Legal business name Douglass-Everhard, Suzyn Mary
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Sep 30th, 2019 - about 5 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 1982762357 NPPES
Kentucky Other 1982762357 NPI

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