Supsura, Susan M.
Supsura, Susan M. is an individual health care provider with primary practice located at 2233 Deerfield Dr , Fort Mill SC 29715-6941. 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. Supsura, Susan M. can be contacted via phone (803) 548-2527.Contact Information
Primary practice address
2233 Deerfield Dr
Fort Mill SC 29715-6941
Phone: (803) 548-2527
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3966 | South Carolina |
Profile Details
| NPI number | 1508896697 |
|---|---|
| LBN Legal business name | Supsura, Susan M. |
| Credentials | M.S.CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | May 25th, 2013 - about 12 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 | 1508896697 | NPPES |
| South Carolina | MEDICAID | SA0719 |
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