Sullivan, Maureen Mary

Sullivan, Maureen Mary is an sole proprietor health care provider with primary practice located at 582 New Loudon Rd , Latham NY 12110-4029. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Maureen Mary can be contacted via phone (518) 783-6059.

Contact Information

Primary practice address
582 New Loudon Rd Latham NY 12110-4029
Fax: (518) 783-4793
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R044185-1 New York

Profile Details

NPI number 1407057326
LBN Legal business name Sullivan, Maureen Mary
Credentials MSW, CSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
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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