Vazquez Nieves, Susana Michelle

Vazquez Nieves, Susana Michelle is an sole proprietor health care provider with primary practice located at 5270 Babcock St Ne Ste 1 , Palm Bay FL 32905-4616. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Vazquez Nieves, Susana Michelle can be contacted via phone (321) 722-6301.

Contact Information

Primary practice address
5270 Babcock St Ne Ste 1 Palm Bay FL 32905-4616
Phone: (321) 722-6301
Fax: (321) 722-5960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9861 Florida

Profile Details

NPI number 1083953434
LBN Legal business name Vazquez Nieves, Susana Michelle
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2013
Last updated Mar 17th, 2018 - about 6 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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