Potter-Ghazali, Susan Gail

Potter-Ghazali, Susan Gail is an individual health care provider with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Potter-Ghazali, Susan Gail can be contacted via phone (209) 525-6146.

Contact Information

Primary practice address
800 Scenic Dr Modesto CA 95350-6131
Phone: (209) 525-6146
Fax: (209) 525-5361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X P0409151106 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 02027985 California

Profile Details

NPI number 1518098250
LBN Legal business name Potter-Ghazali, Susan Gail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 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