Roberts, Susan L

Roberts, Susan L is an sole proprietor health care provider with primary practice located at 151 W Lincoln Hwy Suite C, Dekalb IL 60115-3680. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Roberts, Susan L can be contacted via phone (815) 754-9777.

Contact Information

Primary practice address
151 W Lincoln Hwy Suite C Dekalb IL 60115-3680
Phone: (815) 754-9777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180004201 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-004201 Illinois

Profile Details

NPI number 1750354445
LBN Legal business name Roberts, Susan L
Credentials MA, NCC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2006
Last updated May 20th, 2008 - about 16 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 1750354445 NPPES
Illinois Other 091193 HEALTH ALLIANCE
Illinois Other 01932002 HEALTH ALLIANCE
Illinois Other 486660000 HEALTH ALLIANCE
Illinois Other 364460074 HEALTH ALLIANCE

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