Bullock, Tina

Bullock, Tina is an individual health care provider with primary practice located at 70 S Water St , East Windsor CT 06088-6600. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bullock, Tina can be contacted via phone (860) 623-3039.

Contact Information

Primary practice address
70 S Water St East Windsor CT 06088-6600
Phone: (860) 623-3039
Fax: (860) 292-1518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1275714032
LBN Legal business name Bullock, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2007
Last updated Nov 21st, 2007 - about 18 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.

Request for update

Popular Providers