Vonderheide, Susan G

Vonderheide, Susan G is an sole proprietor health care provider with primary practice located at 3B Taggart Dr , Nashua NH 03060-5592. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vonderheide, Susan G can be contacted via phone (603) 891-1152.

Contact Information

Primary practice address
3B Taggart Dr Nashua NH 03060-5592
Phone: (603) 891-1152
Fax: (603) 881-9744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 392 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 066468-23 New Hampshire

Profile Details

NPI number 1265501605
LBN Legal business name Vonderheide, Susan G
Credentials APRN, PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Aug 22nd, 2014 - about 10 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 1265501605 NPPES
New Hampshire MEDICAID 3005954

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