Sullivan, Jeremy Ray

Sullivan, Jeremy Ray is an sole proprietor health care provider with primary practice located at 655 Main St , Bennington VT 05201-2870. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Jeremy Ray can be contacted via phone (413) 347-6679.

Contact Information

Primary practice address
655 Main St Bennington VT 05201-2870
Phone: (413) 347-6679
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04800000878 Vermont

Profile Details

NPI number 1043441306
LBN Legal business name Sullivan, Jeremy Ray
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2009
Last updated Aug 5th, 2009 - about 15 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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