Haydar, Susan
Haydar, Susan is an individual health care provider with primary practice located at 5471 W Waterford Ln , Appleton WI 54913-8510. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haydar, Susan can be contacted via phone (920) 731-7445.Contact Information
Primary practice address
5471 W Waterford Ln
Appleton WI 54913-8510
Phone: (920) 731-7445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY24934 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9408 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3665-57 | Wisconsin |
Profile Details
| NPI number | 1730452400 |
|---|---|
| LBN Legal business name | Haydar, Susan |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2012 |
| Last updated | May 1st, 2019 - about 6 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 | 1730452400 | NPPES |
| California | Other | W14158 | GROUP PTAN |
| California | Other | GF591Z | GROUP PTAN |
| California | Other | ZZZ20041Z | GROUP PTAN |
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