Gonzales, Daniel Sullivan

Gonzales, Daniel Sullivan is an individual health care provider with primary practice located at 417 N Main St Suite C1, Salisbury NC 28144. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gonzales, Daniel Sullivan can be contacted via phone (704) 636-9550.

Contact Information

Primary practice address
417 N Main St Suite C1 Salisbury NC 28144
Phone: (704) 636-9550
Fax: (704) 636-5865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1579 North Carolina

Profile Details

NPI number 1811936206
LBN Legal business name Gonzales, Daniel Sullivan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1811936206 NPPES
North Carolina MEDICAID 6888408

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