Lightle, Susan
Lightle, Susan is an individual health care provider with primary practice located at 2526 Pheasant Dr , Albany GA 31707-3021. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lightle, Susan can be contacted via phone (229) 439-8686.Contact Information
Primary practice address
2526 Pheasant Dr
Albany GA 31707-3021
Phone: (229) 439-8686
Fax: (229) 883-4484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP001664 | Georgia |
Profile Details
| NPI number | 1891754446 |
|---|---|
| LBN Legal business name | Lightle, Susan |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1891754446 | NPPES |
| Georgia | MEDICAID | 00742321F |
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