Minyard, Susan Elaine
Minyard, Susan Elaine is an individual health care provider with primary practice located at 1701 South Prospect Avenue Suite 8, Champaign IL 61820-7050. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Minyard, Susan Elaine can be contacted via phone (217) 355-9030.Contact Information
Primary practice address
1701 South Prospect Avenue Suite 8
Champaign IL 61820-7050
Phone: (217) 355-9030
Fax: (217) 355-9066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20040161 | Indiana |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois |
Profile Details
| NPI number | 1275642969 |
|---|---|
| LBN Legal business name | Minyard, Susan Elaine |
| Credentials | PH D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 8th, 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.
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