Lopez, Susan Marie

Lopez, Susan Marie is an individual health care provider with primary practice located at 10530 Spotsylvania Ave Children'S Hospital Therapy Center Suite 102, Fredericksburg VA 22408-0000. 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. Lopez, Susan Marie can be contacted via phone (540) 891-4485.

Contact Information

Primary practice address
10530 Spotsylvania Ave Children'S Hospital Therapy Center Suite 102 Fredericksburg VA 22408-0000
Phone: (540) 891-4485
Fax: (540) 890-4486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202001904 Virginia

Profile Details

NPI number 1265575278
LBN Legal business name Lopez, Susan Marie
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265575278 NPPES
Virginia MEDICAID 004909976

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