Cullen, Grace
Cullen, Grace is an individual health care provider with primary practice located at 2489 Lake Tahoe Blvd Ste 23 , South Lake Tahoe CA 96150-7739. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Cullen, Grace can be contacted via phone (530) 578-3839.Contact Information
Primary practice address
2489 Lake Tahoe Blvd Ste 23
South Lake Tahoe CA 96150-7739
Phone: (530) 578-3839
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
NPI number | 1023650058 |
---|---|
LBN Legal business name | Cullen, Grace |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2019 |
Last updated | Oct 10th, 2019 - about 5 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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