Mendicino, Susan Gayle
Mendicino, Susan Gayle is an sole proprietor health care provider with primary practice located at 102 Smithfield St , Buckhannon WV 26201-2620. 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. Mendicino, Susan Gayle can be contacted via phone (304) 624-6554.Contact Information
Primary practice address
102 Smithfield St
Buckhannon WV 26201-2620
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | West Virginia |
Profile Details
| NPI number | 1649441064 |
|---|---|
| LBN Legal business name | Mendicino, Susan Gayle |
| Credentials | MS,CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2008 |
| Last updated | Mar 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649441064 | NPPES |
| West Virginia | MEDICAID | 0155261000 |
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