Suto-Walters, Marlene Ann
Suto-Walters, Marlene Ann is an sole proprietor health care provider with primary practice located at 419 Stoystown Rd , Somerset PA 15501-6945. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Suto-Walters, Marlene Ann can be contacted via phone (814) 444-2893.Contact Information
Primary practice address
419 Stoystown Rd
Somerset PA 15501-6945
Phone: (814) 444-2893
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW 015088 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Pennsylvania |
Profile Details
| NPI number | 1225026610 |
|---|---|
| LBN Legal business name | Suto-Walters, Marlene Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Dec 3rd, 2018 - about 7 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 | 1225026610 | NPPES |
| Pennsylvania | MEDICAID | 1022638450004 |
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