Mumby, Susanne
Mumby, Susanne is an individual health care provider with primary practice located at 14780 W Mountain View Blvd Ste 110 , Surprise AZ 85374-7280. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Mumby, Susanne can be contacted via phone (623) 374-7774.Contact Information
Primary practice address
14780 W Mountain View Blvd Ste 110
Surprise AZ 85374-7280
Phone: (623) 374-7774
Fax: (855) 959-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1174984355 |
|---|---|
| LBN Legal business name | Mumby, Susanne |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2016 |
| Last updated | Aug 24th, 2023 - about 2 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 | 1174984355 | NPPES |
| Arizona | MEDICAID | 555855 |
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