Moyer, Susie Roberts
Moyer, Susie Roberts is an sole proprietor health care provider with primary practice located at 2440 Watson Springs Rd , Watkinsville GA 30677-3622. 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. Moyer, Susie Roberts can be contacted via phone (706) 255-1039.Contact Information
Primary practice address
2440 Watson Springs Rd
Watkinsville GA 30677-3622
Phone: (706) 255-1039
Fax: (706) 369-4492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP003326 | Georgia |
Profile Details
| NPI number | 1376586842 |
|---|---|
| LBN Legal business name | Moyer, Susie Roberts |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Mar 31st, 2021 - about 4 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 | 1376586842 | NPPES |
| Georgia | MEDICAID | 000761153A |
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