Speaker, Elizabeth Susan
Speaker, Elizabeth Susan is an sole proprietor health care provider with primary practice located at 1400 Barbara Loop Se Suite D, Rio Rancho NM 87124-1088. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Speaker, Elizabeth Susan can be contacted via phone (505) 507-4408.Contact Information
Primary practice address
1400 Barbara Loop Se Suite D
Rio Rancho NM 87124-1088
Phone: (505) 507-4408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0102551 | New Mexico |
Profile Details
| NPI number | 1255457339 |
|---|---|
| LBN Legal business name | Speaker, Elizabeth Susan |
| Credentials | LCPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1255457339 | NPPES |
| New Mexico | MEDICAID | NM600744 | |
| New Mexico | MEDICAID | 35473011 | |
| New Mexico | MEDICAID | 58138251 |
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