Sullivan, Daniel T

Sullivan, Daniel T is an individual health care provider with primary practice located at 58 Old Colony Ave , South Boston MA 02127-2406. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Daniel T can be contacted via phone (617) 268-1700.

Contact Information

Primary practice address
58 Old Colony Ave South Boston MA 02127-2406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 115114 Massachusetts

Profile Details

NPI number 1124235734
LBN Legal business name Sullivan, Daniel T
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jun 7th, 2011 - about 13 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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