Sullivan, Gloria Rose

Sullivan, Gloria Rose is an sole proprietor health care provider with primary practice located at 613 G St Suite A, Davis CA 95616-3771. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Sullivan, Gloria Rose can be contacted via phone (530) 297-8085.

Contact Information

Primary practice address
613 G St Suite A Davis CA 95616-3771
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 80574 California

Profile Details

NPI number 1245382365
LBN Legal business name Sullivan, Gloria Rose
Credentials MFTI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Apr 7th, 2016 - about 8 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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