Mejo, Susan L.
Mejo, Susan L. is an individual health care provider with primary practice located at 600 Broadway St , Longview WA 98632-3256. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mejo, Susan L. can be contacted via phone (360) 414-2236.Contact Information
Primary practice address
600 Broadway St
Longview WA 98632-3256
Phone: (360) 414-2236
Fax: (360) 414-2024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY00001808 | Washington |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN00035482 | Washington |
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | RN00035482 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30000920 | Washington |
Profile Details
| NPI number | 1831265982 |
|---|---|
| LBN Legal business name | Mejo, Susan L. |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831265982 | NPPES |
| Washington | Other | 8929455 | CRIME VICTIMS |
| Washington | Other | 0144976 | CRIME VICTIMS |
| Washington | MEDICAID | 292799 | CRIME VICTIMS |
| Washington | MEDICAID | 9614116 | CRIME VICTIMS |
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