Page, Susan

Page, Susan is an individual health care provider with primary practice located at 7 Vine Ave Ne , Fort Walton Beach FL 32548-5070. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Page, Susan can be contacted via phone (850) 863-2873.

Contact Information

Primary practice address
7 Vine Ave Ne Fort Walton Beach FL 32548-5070
Phone: (850) 863-2873
Fax: (850) 862-9292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH3244 Florida

Profile Details

NPI number 1104979863
LBN Legal business name Page, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers