Individual
SUSAN ING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E STONER AVENUE, SHREVEPORT, LA 71101
(318) 221-8411
Mailing address
6012 PEPPERWOOD CIRCLE, BOSSIER CITY, LA 71111-5678
(318) 741-2431
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11343
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11343
MD LICENSE
HI
Enumeration date
08/09/2006
Last updated
07/08/2007
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