Wall, Suzanne U

Wall, Suzanne U is an sole proprietor health care provider with primary practice located at 7345 E Evans Rd , Scottsdale AZ 85260-3192. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wall, Suzanne U can be contacted via phone (602) 526-2261.

Contact Information

Primary practice address
7345 E Evans Rd Scottsdale AZ 85260-3192
Fax: (855) 216-0664
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW 3695 Arizona
Behavioral Health & Social Service Providers / School 1041S0200X LCSW 3695 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-3695 Arizona

Profile Details

NPI number 1558415216
LBN Legal business name Wall, Suzanne U
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Mar 25th, 2019 - about 5 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 1558415216 NPPES
Arizona MEDICAID 591158

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