Pauly, Susan L.

Pauly, Susan L. is an sole proprietor health care provider with primary practice located at 1132A S Rogers St , Bloomington IN 47403-4770. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Pauly, Susan L. can be contacted via phone (812) 335-0605.

Contact Information

Primary practice address
1132A S Rogers St Bloomington IN 47403-4770
Phone: (812) 335-0605
Fax: (812) 335-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20041215A Indiana

Profile Details

NPI number 1851474043
LBN Legal business name Pauly, Susan L.
Credentials PH.D. HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851474043 NPPES
Indiana Other 2027007 CIGNA PIN #
Indiana Other 548896P CIGNA PIN #
Indiana Other NON-PAR CIGNA PIN #
Indiana Other 0007851384 CIGNA PIN #

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