Fillmore, Loni L

Fillmore, Loni L is an sole proprietor health care provider with primary practice located at 2500 Merced St , San Leandro CA 94577-4201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fillmore, Loni L can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
2500 Merced St San Leandro CA 94577-4201
Phone: (510) 454-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY24727 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24727 California

Profile Details

NPI number 1932394459
LBN Legal business name Fillmore, Loni L
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2007
Last updated Jun 30th, 2015 - about 9 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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