Hammond, Susan

Hammond, Susan is an individual health care provider with primary practice located at 31 Thurber Dr , Waterloo NY 13165-1600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hammond, Susan can be contacted via phone (315) 539-1980.

Contact Information

Primary practice address
31 Thurber Dr Waterloo NY 13165-1600
Fax: (315) 539-1054
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 047386 New York

Profile Details

NPI number 1457363459
LBN Legal business name Hammond, Susan
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457363459 NPPES
New York MEDICAID 047386

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