Doyle-Roeder, Suzan K

Doyle-Roeder, Suzan K is an sole proprietor health care provider with primary practice located at 2021 N Main Ave , Springfield MO 65803-2607. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Doyle-Roeder, Suzan K can be contacted via phone (417) 413-1555.

Contact Information

Primary practice address
2021 N Main Ave Springfield MO 65803-2607
Phone: (417) 413-1555
Fax: (833) 473-0885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2016039485 Missouri

Profile Details

NPI number 1154850089
LBN Legal business name Doyle-Roeder, Suzan K
Credentials MS, BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2017
Last updated Feb 15th, 2021 - about 3 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 1154850089 NPPES
Missouri MEDICAID 730043218

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