Gwaltney, Mary V

Gwaltney, Mary V is an sole proprietor health care provider with primary practice located at 3416 American River Dr Suite B, Sacramento CA 95864-5753. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Gwaltney, Mary V can be contacted via phone (916) 972-9400.

Contact Information

Primary practice address
3416 American River Dr Suite B Sacramento CA 95864-5753
Phone: (916) 972-9400
Fax: (916) 972-9500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LEP2540 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LEP2540 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LEP254 California

Profile Details

NPI number 1609037910
LBN Legal business name Gwaltney, Mary V
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Oct 3rd, 2012 - about 13 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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