Watt, Suzan Allen

Watt, Suzan Allen is an individual health care provider with primary practice located at 430 Crystal Lake Dr , Chapin SC 29036-9514. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Watt, Suzan Allen can be contacted via phone (803) 240-5460.

Contact Information

Primary practice address
430 Crystal Lake Dr Chapin SC 29036-9514
Phone: (803) 240-5460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1976 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2482 South Carolina

Profile Details

NPI number 1861589368
LBN Legal business name Watt, Suzan Allen
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 1st, 2021 - about 4 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 1861589368 NPPES
South Carolina MEDICAID 421504
South Carolina Other 3335

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