Hayman, Susan Chamberlain

Hayman, Susan Chamberlain is an individual health care provider with primary practice located at 2404 Jackson Blvd , Rapid City SD 57702-3450. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hayman, Susan Chamberlain can be contacted via phone (605) 737-0769.

Contact Information

Primary practice address
2404 Jackson Blvd Rapid City SD 57702-3450
Fax: (605) 721-1196
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-MH 2081 South Dakota

Profile Details

NPI number 1104890144
LBN Legal business name Hayman, Susan Chamberlain
Credentials MS LPC-MH QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 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 1104890144 NPPES
South Dakota Other 4997001 BLUE CROSS/BLUE SHIELD
South Dakota MEDICAID 6575560 BLUE CROSS/BLUE SHIELD

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