Porter, Susan Marie

Porter, Susan Marie is an individual health care provider with primary practice located at 1618 Gunbarrel Rd Ste 102 , Chattanooga TN 37421. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Porter, Susan Marie can be contacted via phone (423) 710-1432.

Contact Information

Primary practice address
1618 Gunbarrel Rd Ste 102 Chattanooga TN 37421
Phone: (423) 710-1432
Fax: (423) 710-1433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1484 Tennessee
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1484 Tennessee

Profile Details

NPI number 1306095682
LBN Legal business name Porter, Susan Marie
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2008
Last updated Aug 24th, 2018 - about 6 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 1306095682 NPPES
Tennessee Other 1306095682 NPI
Tennessee MEDICAID Q012334 NPI

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