Van Der Goore, Susan

Van Der Goore, Susan is an individual health care provider with primary practice located at 930 17Th St Ne , Massillon OH 44646-4853. 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. Van Der Goore, Susan can be contacted via phone (330) 830-3900.

Contact Information

Primary practice address
930 17Th St Ne Massillon OH 44646-4853
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP5976 Ohio

Profile Details

NPI number 1316359078
LBN Legal business name Van Der Goore, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2014
Last updated May 28th, 2014 - about 11 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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