Sullivan, Siobhan

Sullivan, Siobhan is an individual health care provider with primary practice located at 31 Thurber Dr , Waterloo NY 13165-1649. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Sullivan, Siobhan can be contacted via phone (315) 539-1985.

Contact Information

Primary practice address
31 Thurber Dr Waterloo NY 13165-1649
Phone: (315) 539-1985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5873 New York

Profile Details

NPI number 1467860379
LBN Legal business name Sullivan, Siobhan
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2014
Last updated Jul 24th, 2014 - about 10 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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