Nathan, Susan J

Nathan, Susan J is an sole proprietor health care provider with primary practice located at 428 Avenida Sevilla Unit C, Laguna Woods CA 92637-8066. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Nathan, Susan J can be contacted via phone (949) 690-0171.

Contact Information

Primary practice address
428 Avenida Sevilla Unit C Laguna Woods CA 92637-8066
Phone: (949) 690-0171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY18217 California

Profile Details

NPI number 1144227513
LBN Legal business name Nathan, Susan J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Feb 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144227513 NPPES
California MEDICAID 9184239

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