Kullman, Susan Bertha
Kullman, Susan Bertha is an individual health care provider with primary practice located at 915 E Gurley St Ste 105, Prescott AZ 86301-3244. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kullman, Susan Bertha can be contacted via phone (928) 445-0231.Contact Information
Primary practice address
915 E Gurley St Ste 105
Prescott AZ 86301-3244
Phone: (928) 445-0231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCSW2411 | Arizona |
Profile Details
| NPI number | 1467506816 |
|---|---|
| LBN Legal business name | Kullman, Susan Bertha |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| 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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