Landis, Suzanne A
Landis, Suzanne A is an individual health care provider with primary practice located at 100 Selma Ave , Webster Groves MO 63119-3107. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Landis, Suzanne A can be contacted via phone (314) 918-4281.Contact Information
Primary practice address
100 Selma Ave
Webster Groves MO 63119-3107
Phone: (314) 918-4281
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2000148174 | Missouri |
Behavioral Health & Social Service Providers / School | 101YS0200X | 2000148174 | Missouri |
Profile Details
NPI number | 1194999045 |
---|---|
LBN Legal business name | Landis, Suzanne A |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2008 |
Last updated | Oct 5th, 2018 - 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 | 1194999045 | NPPES |
Missouri | MEDICAID | 1194999045 |
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