Johannsen, Susan
Johannsen, Susan is an individual health care provider with primary practice located at 15418 Maint Street Suite 303A, Mill Creek WA 98012. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johannsen, Susan can be contacted via phone (425) 339-5453.Contact Information
Primary practice address
15418 Maint Street Suite 303A
Mill Creek WA 98012
Phone: (425) 339-5453
Fax: (425) 252-4441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY61085331 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY61085331 | Washington |
Profile Details
| NPI number | 1063026417 |
|---|---|
| LBN Legal business name | Johannsen, Susan |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2020 |
| Last updated | Feb 16th, 2023 - about 2 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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