Randlett, Susan L
Randlett, Susan L is an individual health care provider with primary practice located at 1 Medical Center Dr Dartmouth Hitchcock - Psychiatry, Lebanon NH 03756-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Randlett, Susan L can be contacted via phone (603) 653-1732.Contact Information
Primary practice address
1 Medical Center Dr Dartmouth Hitchcock - Psychiatry
Lebanon NH 03756-1000
Phone: (603) 653-1732
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 433 | New Hampshire |
Profile Details
| NPI number | 1912040759 |
|---|---|
| LBN Legal business name | Randlett, Susan L |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Oct 5th, 2016 - about 9 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 | 1912040759 | NPPES |
| New Hampshire | Other | 2038681 | CIGNA |
| New Hampshire | Other | 800119026-01 | CIGNA |
| New Hampshire | Other | 14Y007920NH01 | CIGNA |
| New Hampshire | MEDICAID | 30423160 | CIGNA |
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