Dwyer, Susan Ann
Dwyer, Susan Ann is an individual health care provider with primary practice located at 203W Wayne St 317 , Fort Wayne IN 46802-3610. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Dwyer, Susan Ann can be contacted via phone (260) 413-0040.Contact Information
Primary practice address
203W Wayne St 317
Fort Wayne IN 46802-3610
Phone: (260) 413-0040
Fax: (260) 344-2820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 20041233 | Indiana |
Profile Details
| NPI number | 1508865650 |
|---|---|
| LBN Legal business name | Dwyer, Susan Ann |
| Credentials | PHD CLINICAL PSYCHOL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Nov 9th, 2015 - about 9 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 | 1508865650 | NPPES |
| Indiana | MEDICAID | 200142310 |
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