Goburdhun, Sara
Goburdhun, Sara is an individual health care provider with primary practice located at 14555 Levan Rd Suite 401, Livonia MI 48154-5083. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Goburdhun, Sara can be contacted via phone (734) 953-0380.Contact Information
Primary practice address
14555 Levan Rd Suite 401
Livonia MI 48154-5083
Phone: (734) 953-0380
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301006142 | Michigan |
Profile Details
NPI number | 1447235759 |
---|---|
LBN Legal business name | Goburdhun, Sara |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 8th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447235759 | NPPES |
Michigan | Other | 680H24703 | BLUE CROSS BLUE SHIELD |
Michigan | Other | 6301006142 | BLUE CROSS BLUE SHIELD |
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