Abdullah, Sandra Lynn
Abdullah, Sandra Lynn is an sole proprietor health care provider with primary practice located at 1799 Mount Mariah Dr , Las Vegas NV 89106-1501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abdullah, Sandra Lynn can be contacted via phone (702) 209-9918.Contact Information
Primary practice address
1799 Mount Mariah Dr
Las Vegas NV 89106-1501
Phone: (702) 209-9918
Fax: (702) 307-5421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2859-C | Nevada |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149005598 | Illinois |
Profile Details
| NPI number | 1265524649 |
|---|---|
| LBN Legal business name | Abdullah, Sandra Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | May 6th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265524649 | NPPES |
| Nevada | MEDICAID | 100509694 |
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