Mustafina, Susan Leigh

Mustafina, Susan Leigh is an sole proprietor health care provider with primary practice located at 905 E Wilson St , Shawnee OK 74804-4165. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mustafina, Susan Leigh can be contacted via phone (405) 214-0116.

Contact Information

Primary practice address
905 E Wilson St Shawnee OK 74804-4165
Phone: (405) 214-0116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1689952129
LBN Legal business name Mustafina, Susan Leigh
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2011
Last updated Mar 1st, 2024 - about last year

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 1689952129 NPPES
Oklahoma MEDICAID 200362320B

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