Sullivan, Kerry Renee

Sullivan, Kerry Renee is an sole proprietor health care provider with primary practice located at 978 Home Plz Suite 300, Waterloo IA 50701-4809. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sullivan, Kerry Renee can be contacted via phone (319) 529-9929.

Contact Information

Primary practice address
978 Home Plz Suite 300 Waterloo IA 50701-4809
Phone: (319) 529-9929
Fax: (319) 981-5029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 874 Iowa

Profile Details

NPI number 1386724961
LBN Legal business name Sullivan, Kerry Renee
Credentials LMHC, RPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Apr 2nd, 2014 - about 11 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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