Martin, Suzanne Gabrielle

Martin, Suzanne Gabrielle is an sole proprietor health care provider with primary practice located at 100 Brewster Blvd Naval Hospital, Camp Lejeune NC 28547-2538. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Suzanne Gabrielle can be contacted via phone (910) 450-4159.

Contact Information

Primary practice address
100 Brewster Blvd Naval Hospital Camp Lejeune NC 28547-2538
Fax: (910) 450-4194
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3267 North Carolina

Profile Details

NPI number 1417983511
LBN Legal business name Martin, Suzanne Gabrielle
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Mar 8th, 2012 - about 12 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 1417983511 NPPES
Pennsylvania MEDICAID 0018539600001

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