Sullivan, Mark Tighe

Sullivan, Mark Tighe is an individual health care provider with primary practice located at 1011 Bond St , Asbury Park NJ 07712-5939. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Mark Tighe can be contacted via phone (732) 869-2781.

Contact Information

Primary practice address
1011 Bond St Asbury Park NJ 07712-5939
Fax: (732) 897-9541
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC01470400 New Jersey

Profile Details

NPI number 1356456297
LBN Legal business name Sullivan, Mark Tighe
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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