Bullock, Shelby

Bullock, Shelby is an sole proprietor health care provider with primary practice located at 3867 Serenity St , Springdale AR 72764-6521. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bullock, Shelby can be contacted via phone (870) 688-8143.

Contact Information

Primary practice address
3867 Serenity St Springdale AR 72764-6521
Phone: (870) 688-8143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arkansas

Profile Details

NPI number 1770111668
LBN Legal business name Bullock, Shelby
Credentials SCHOOL PSYCHOLOGY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2020
Last updated Mar 28th, 2020 - about 4 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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