Organization · Type 2 NPI
Susan Haverty
Specialist · Sacramento, CA
NPI number
1720296379
Active
Practice location
3067 Freeport Blvd
Sacramento, CA 95818-4347
Mailing address
PO Box 2842
Rancho Cordova, CA 95741-2842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MFC44110 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1720296379
Susan Haverty's National Provider Identifier is 1720296379, issued on May 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 22, 2020.