Sullivan, Ellen Watters

Sullivan, Ellen Watters is an sole proprietor health care provider with primary practice located at 125 Seaward Way , Eastham MA 02642. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Ellen Watters can be contacted via phone (339) 221-4511.

Contact Information

Primary practice address
125 Seaward Way Eastham MA 02642
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 117506
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0061724 Vermont

Profile Details

NPI number 1588994479
LBN Legal business name Sullivan, Ellen Watters
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2009
Last updated Jun 17th, 2022 - about 3 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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