Mcknight, Susan Marie

Mcknight, Susan Marie is an individual health care provider with primary practice located at 1025 N Country Club Dr , Mesa AZ 85201-3307. 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. Mcknight, Susan Marie can be contacted via phone (480) 472-0727.

Contact Information

Primary practice address
1025 N Country Club Dr Mesa AZ 85201-3307
Fax: (480) 472-0705
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0057 Arizona

Profile Details

NPI number 1982766481
LBN Legal business name Mcknight, Susan Marie
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
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 1982766481 NPPES
Arizona MEDICAID 580458
Arizona Other SLP0057

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