More, Susannah

More, Susannah is an individual health care provider with primary practice located at 302 Randall Rd , Geneva IL 60134-4209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. More, Susannah can be contacted via phone (630) 524-5845.

Contact Information

Primary practice address
302 Randall Rd Geneva IL 60134-4209
Phone: (630) 524-5845
Fax: (630) 208-3007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.007768 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071.007768 Illinois

Profile Details

NPI number 1770828287
LBN Legal business name More, Susannah
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Mar 17th, 2018 - about 6 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 1770828287 NPPES
Illinois Other F400100849 MEDICARE (INDIVIDUAL PTAN)
Illinois MEDICAID 071007768 MEDICARE (INDIVIDUAL PTAN)
Illinois Other 206147 MEDICARE (INDIVIDUAL PTAN)

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