Individual
SUSAN L. MEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
600 BROADWAY ST, LONGVIEW, WA 98632-3256
(360) 414-2236
(360) 414-2024
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2048
(360) 575-6749
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001808
WA
163W00000X
Registered Nurse
RN00035482
WA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN00035482
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30000920
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144976
LABOR & IND.
WA
05
—
292799
—
OR
01
—
8929455
CRIME VICTIMS
WA
05
—
9614116
—
WA
Enumeration date
11/28/2006
Last updated
09/11/2025
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