Pullen, Tara K.
Pullen, Tara K. is an sole proprietor health care provider with primary practice located at 4 Washington St Suite 300, Sanford ME 04073-3031. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pullen, Tara K. can be contacted via phone (207) 318-4831.Contact Information
Primary practice address
4 Washington St Suite 300
Sanford ME 04073-3031
Phone: (207) 318-4831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC9957 | Maine |
Profile Details
| NPI number | 1245435007 |
|---|---|
| LBN Legal business name | Pullen, Tara K. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Nov 20th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245435007 | NPPES |
| Maine | MEDICAID | 431537699 |
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