Boulware, Susan Laura

Boulware, Susan Laura is an sole proprietor health care provider with primary practice located at 2609 Capitol Ave , Sacramento CA 95816-5904. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Boulware, Susan Laura can be contacted via phone (916) 492-9442.

Contact Information

Primary practice address
2609 Capitol Ave Sacramento CA 95816-5904
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X MFT23850 California

Profile Details

NPI number 1326254343
LBN Legal business name Boulware, Susan Laura
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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