Bultman, Thea

Bultman, Thea is an individual health care provider with primary practice located at 26184 Outer Dr , Lincoln Park MI 48146-2084. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bultman, Thea can be contacted via phone (313) 389-3942.

Contact Information

Primary practice address
26184 Outer Dr Lincoln Park MI 48146-2084
Phone: (313) 389-3942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1134997315
LBN Legal business name Bultman, Thea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2023
Last updated Dec 18th, 2023 - about 2 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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