Mandel, Susan D

Mandel, Susan D is an individual health care provider with primary practice located at 420 Fruit Hill Ave , North Providence RI 02911-2647. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mandel, Susan D can be contacted via phone (401) 783-3550.

Contact Information

Primary practice address
420 Fruit Hill Ave North Providence RI 02911-2647
Phone: (401) 783-3550
Fax: (401) 783-3550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ISW01776 Rhode Island
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PR0168991 New York

Profile Details

NPI number 1528163920
LBN Legal business name Mandel, Susan D
Credentials LICSW MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Mar 25th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528163920 NPPES
New York Other PR016899-1 LICENSE
New York Other ISW01776 LICENSE

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