Robertson, Susan K

Robertson, Susan K is an sole proprietor health care provider with primary practice located at 2326 Wrightsboro Rd , Augusta GA 30904-6233. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Robertson, Susan K can be contacted via phone (706) 739-0791.

Contact Information

Primary practice address
2326 Wrightsboro Rd Augusta GA 30904-6233
Fax: (706) 739-0150
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000694 Georgia

Profile Details

NPI number 1144236043
LBN Legal business name Robertson, Susan K
Credentials M.S.,L.M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1144236043 NPPES
Georgia Other 000694 MFT LICENSE NUMBER

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