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
Phone: (843) 367-1210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1225244478 | NPPES |
| South Carolina | Other | LISW 3421 | STATE LICENSE FOR MSW |
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