Smith, Susannah
Smith, Susannah is an sole proprietor health care provider with primary practice located at 1100 Longhorn Dr , Weatherford TX 76086-5095. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Smith, Susannah can be contacted via phone (817) 598-2800.Contact Information
Primary practice address
1100 Longhorn Dr
Weatherford TX 76086-5095
Phone: (817) 598-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2504 | Arkansas |
Profile Details
| NPI number | 1669668802 |
|---|---|
| LBN Legal business name | Smith, Susannah |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Sep 13th, 2021 - about 3 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 | 1669668802 | NPPES |
| Arkansas | MEDICAID | 164945721 |
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