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
Phone: (704) 787-0224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346204708 | NPPES |
| North Carolina | MEDICAID | 7412485 | |
| North Carolina | Other | 141UK |
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