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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447235759 NPPES
Michigan Other 680H24703 BLUE CROSS BLUE SHIELD
Michigan Other 6301006142 BLUE CROSS BLUE SHIELD

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