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Contact Information

SUSAN COLBURN, LCSW
555 ROUND ROCK WEST DR
BUILDING E, STE 216
ROUND ROCK, TX78681-5052
 Phone: 512-934-0021
 Fax: 512-607-6308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SUSAN COLBURN · (Female)

NPI Number 1568579126
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/23/2006
Last updated 08/06/2008 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
TX License # 29704
TX Medicaid 192371601
TX Other 612951 MEDICARE PROVIDER NUMBER
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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