Stiller, Susan B
Stiller, Susan B is an individual health care provider with primary practice located at 710 Hunter Dr , Pueblo CO 81001-1812. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stiller, Susan B can be contacted via phone (719) 595-0020.Contact Information
Primary practice address
710 Hunter Dr
Pueblo CO 81001-1812
Phone: (719) 595-0020
Fax: (719) 542-1634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 983018 | Colorado |
Profile Details
| NPI number | 1730125246 |
|---|---|
| LBN Legal business name | Stiller, Susan B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jan 13th, 2015 - about 9 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 | 1730125246 | NPPES |
| Colorado | MEDICAID | 034147 | |
| Colorado | Other | 302191 |
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