Southward, T

Southward, T is an individual health care provider with primary practice located at 6808 N Wolcott Ave , Chicago IL 60626-3155. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Southward, T can be contacted via phone (773) 456-5640.

Contact Information

Primary practice address
6808 N Wolcott Ave Chicago IL 60626-3155
Phone: (773) 456-5640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1447312152
LBN Legal business name Southward, T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2006
Last updated Mar 14th, 2009 - 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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