Gonzales Crandall, Susan Ann
Gonzales Crandall, Susan Ann is an sole proprietor health care provider with primary practice located at 19732 Macarthur Blvd 130, Irvine CA 92612-2419. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gonzales Crandall, Susan Ann can be contacted via phone (310) 770-5009.Contact Information
Primary practice address
19732 Macarthur Blvd 130
Irvine CA 92612-2419
Phone: (310) 770-5009
Fax: (562) 592-5166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19045 | California |
Profile Details
| NPI number | 1144431214 |
|---|---|
| LBN Legal business name | Gonzales Crandall, Susan Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 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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