Dullaghan, Camille Lucille

Dullaghan, Camille Lucille is an sole proprietor health care provider with primary practice located at 125 Valley Road , Montclair NJ 07042. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Dullaghan, Camille Lucille can be contacted via phone (973) 865-5245.

Contact Information

Primary practice address
125 Valley Road Montclair NJ 07042
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NO04249100 New Jersey
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 784068 California

Profile Details

NPI number 1639393358
LBN Legal business name Dullaghan, Camille Lucille
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Feb 26th, 2014 - about 11 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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