Shadwick, Susan Lorena

Shadwick, Susan Lorena is an sole proprietor health care provider with primary practice located at 628 Woodlake Ct , Westerville OH 43081-3458. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Shadwick, Susan Lorena can be contacted via phone (213) 631-3733.

Contact Information

Primary practice address
628 Woodlake Ct Westerville OH 43081-3458
Phone: (213) 631-3733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X F.1700016 Ohio
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT99844 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1043619554
LBN Legal business name Shadwick, Susan Lorena
Credentials IMFT-S, LMFT, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2014
Last updated Oct 3rd, 2023 - about last year

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

Identifiers

StateTypeNumberIssuer
All States NPI 1043619554 NPPES
Ohio MEDICAID 0232084

Popular Providers