Staub, Susan A

Staub, Susan A is an sole proprietor health care provider with primary practice located at 886 Johnnie Dodds Blvd , Mt. Pleasant SC 29464. 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. Staub, Susan A can be contacted via phone (843) 367-1210.

Contact Information

Primary practice address
886 Johnnie Dodds Blvd Mt. Pleasant SC 29464
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LISW 3421 South Carolina

Profile Details

NPI number 1225244478
LBN Legal business name Staub, Susan A
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225244478 NPPES
South Carolina Other LISW 3421 STATE LICENSE FOR MSW

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