Perry, Susan J.
Perry, Susan J. is an individual health care provider with primary practice located at 620 Coronado Ave , Espanola NM 87532-2725. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Perry, Susan J. can be contacted via phone (505) 753-7395.Contact Information
Primary practice address
620 Coronado Ave
Espanola NM 87532-2725
Phone: (505) 753-7395
Fax: (505) 753-8373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2874 | New Mexico |
Profile Details
| NPI number | 1841283207 |
|---|---|
| LBN Legal business name | Perry, Susan J. |
| Credentials | PH.D.,CDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841283207 | NPPES |
| New Mexico | MEDICAID | 73812 |
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