Moore, Susan I

Moore, Susan I is an individual health care provider with primary practice located at 122 Langley Rd N Ste A , Glen Burnie MD 21060-6539. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moore, Susan I can be contacted via phone (410) 222-6725.

Contact Information

Primary practice address
122 Langley Rd N Ste A Glen Burnie MD 21060-6539
Phone: (410) 222-6725
Fax: (410) 222-6748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACO239 Maryland

Profile Details

NPI number 1679798417
LBN Legal business name Moore, Susan I
Credentials BA,CAC-AD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 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.

Request for update

Popular Providers