Susa, Diane

Susa, Diane is an individual health care provider with primary practice located at 8577 E Market St , Warren OH 44484-2345. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Susa, Diane can be contacted via phone (330) 856-6663.

Contact Information

Primary practice address
8577 E Market St Warren OH 44484-2345
Phone: (330) 856-6663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E . 0003162 Ohio

Profile Details

NPI number 1134106057
LBN Legal business name Susa, Diane
Credentials MS/LPCC/NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
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.

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