Volentine, Susan Z.

Volentine, Susan Z. is an sole proprietor health care provider with primary practice located at 122 Cherry St Ne , Marietta GA 30060-7206. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Volentine, Susan Z. can be contacted via phone (770) 427-2911.

Contact Information

Primary practice address
122 Cherry St Ne Marietta GA 30060-7206
Fax: (770) 509-9529
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1048 Georgia

Profile Details

NPI number 1780614636
LBN Legal business name Volentine, Susan Z.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780614636 NPPES
Georgia MEDICAID 00521243A

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