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
Phone: (916) 492-9442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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