# SUSAN K SINNOTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083749394
- **Gender:** F
- **Credential:** MS, LMFT, LD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | T0517 | OR | Yes |
| 133V00000X | Registered Dietitian | 90 | OR | — |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 04/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1407812365 | GROUP NPI NUMBER | OR |
| 01 | — | 90 | LICENSE-DIETITIAN | OR |
| 01 | — | 930635514 | GROUP TAX ID FOR BILLING | OR |
| 01 | — | R0000WFBTV | GROUP MEDICARE PIN NUMBER | OR |
| 01 | — | T0517 | LICENSE-MARRIAGE & FAMILY THERAPIST | OR |