Sullivan, Mary Gardner

Sullivan, Mary Gardner is an sole proprietor health care provider with primary practice located at 923 Route 6A Suite T, Yarmouth Port MA 02675-2159. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Mary Gardner can be contacted via phone (508) 654-0905.

Contact Information

Primary practice address
923 Route 6A Suite T Yarmouth Port MA 02675-2159
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114161 Massachusetts

Profile Details

NPI number 1336357987
LBN Legal business name Sullivan, Mary Gardner
Credentials L.I.C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Oct 9th, 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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