Paxton, Suzanna Tennyson
Paxton, Suzanna Tennyson is an sole proprietor health care provider with primary practice located at 425 Holderrieth Blvd Suite 201A, Tomball TX 77375-4543. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Paxton, Suzanna Tennyson can be contacted via phone (713) 702-4834.Contact Information
Primary practice address
425 Holderrieth Blvd Suite 201A
Tomball TX 77375-4543
Phone: (713) 702-4834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13298 | Texas |
Profile Details
| NPI number | 1417966672 |
|---|---|
| LBN Legal business name | Paxton, Suzanna Tennyson |
| Credentials | LCSW, LCDC, LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 24th, 2012 - about 13 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 | 1417966672 | NPPES |
| Texas | MEDICAID | 061090902 | |
| Texas | Other | 87521Q |
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