Waterman, Susan Ann
Waterman, Susan Ann is an individual health care provider with primary practice located at 107 E Main St Suite 7, Medford OR 97501-6048. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waterman, Susan Ann can be contacted via phone (541) 772-2791.Contact Information
Primary practice address
107 E Main St Suite 7
Medford OR 97501-6048
Phone: (541) 772-2791
Fax: (541) 772-2791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1273 | Oregon |
Profile Details
| NPI number | 1023148376 |
|---|---|
| LBN Legal business name | Waterman, Susan Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| 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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