Shallcross, Susan Leigh

Shallcross, Susan Leigh is an individual health care provider with primary practice located at 9124 Copenhaver Dr , Potomac MD 20854-3013. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shallcross, Susan Leigh can be contacted via phone (301) 251-2924.

Contact Information

Primary practice address
9124 Copenhaver Dr Potomac MD 20854-3013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LGP11870 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC13917 Maryland

Profile Details

NPI number 1487392056
LBN Legal business name Shallcross, Susan Leigh
Credentials LGPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2022
Last updated May 30th, 2023 - about 2 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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