Mccollum, Sally
Mccollum, Sally is an sole proprietor health care provider with primary practice located at 171 W. 1St St #1 , Ketchum ID 83340-6078. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccollum, Sally can be contacted via phone (208) 726-8926.Contact Information
Primary practice address
171 W. 1St St #1
Ketchum ID 83340-6078
Phone: (208) 726-8926
Fax: (208) 726-8926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 237 | Idaho |
Profile Details
| NPI number | 1609984210 |
|---|---|
| LBN Legal business name | Mccollum, Sally |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jan 14th, 2015 - about 10 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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