La Sala, Susan M

La Sala, Susan M is an sole proprietor health care provider with primary practice located at 614 Asharoken Blvd , Bay Shore NY 11706-6302. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. La Sala, Susan M can be contacted via phone (631) 665-3032.

Contact Information

Primary practice address
614 Asharoken Blvd Bay Shore NY 11706-6302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 342 New York

Profile Details

NPI number 1972632339
LBN Legal business name La Sala, Susan M
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2007
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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