Southall, Donnell

Southall, Donnell is an sole proprietor health care provider with primary practice located at 3125 Myers St , Riverside CA 92503-5527. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Southall, Donnell can be contacted via phone (951) 358-4840.

Contact Information

Primary practice address
3125 Myers St Riverside CA 92503-5527
Phone: (951) 358-4840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922453380
LBN Legal business name Southall, Donnell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2016
Last updated May 23rd, 2019 - about 6 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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