Gwaltney, Susan

Gwaltney, Susan is an sole proprietor health care provider with primary practice located at 7668 La Manga Dr , Dallas TX 75248-3129. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gwaltney, Susan can be contacted via phone (972) 701-8196.

Contact Information

Primary practice address
7668 La Manga Dr Dallas TX 75248-3129
Phone: (972) 701-8196
Fax: (972) 392-3983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 24096 Texas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 24096 Texas
Behavioral Health & Social Service Providers / Family 103TF0000X 24096 Texas
Behavioral Health & Social Service Providers / Forensic 103TF0200X 24096 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 24096 Texas

Profile Details

NPI number 1639184187
LBN Legal business name Gwaltney, Susan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2006
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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