Walters, Susan M

Walters, Susan M is an sole proprietor health care provider with primary practice located at 1301 Rolling Hills Ct , Concord NC 28025-9148. 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. Walters, Susan M can be contacted via phone (704) 787-0224.

Contact Information

Primary practice address
1301 Rolling Hills Ct Concord NC 28025-9148
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7056 North Carolina

Profile Details

NPI number 1346204708
LBN Legal business name Walters, Susan M
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Dec 1st, 2009 - about 16 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 1346204708 NPPES
North Carolina MEDICAID 7412485
North Carolina Other 141UK

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