Bulling, Vickie Ann

Bulling, Vickie Ann is an sole proprietor health care provider with primary practice located at 1600 W 24Th St , Pueblo CO 81003-1411. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bulling, Vickie Ann can be contacted via phone (719) 546-4876.

Contact Information

Primary practice address
1600 W 24Th St Pueblo CO 81003-1411
Phone: (719) 546-4876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X NM3156 New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3583 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 804 Nebraska

Profile Details

NPI number 1114023215
LBN Legal business name Bulling, Vickie Ann
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Mar 31st, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114023215 NPPES
New Mexico MEDICAID B7865

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