Marckx, Susan

Marckx, Susan is an individual health care provider with primary practice located at 22115 Roscoe Blvd , Canoga Park CA 91304. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Marckx, Susan can be contacted via phone (818) 884-8100.

Contact Information

Primary practice address
22115 Roscoe Blvd Canoga Park CA 91304
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT35510 California

Profile Details

NPI number 1790987626
LBN Legal business name Marckx, Susan
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790987626 NPPES
California MEDICAID 7484
California MEDICAID 7283

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