Sullivan, Tiffany

Sullivan, Tiffany is an sole proprietor health care provider with primary practice located at 12101 W Washington Blvd , Los Angeles CA 90066-5501. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Sullivan, Tiffany can be contacted via phone (310) 751-1113.

Contact Information

Primary practice address
12101 W Washington Blvd Los Angeles CA 90066-5501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 17228 California

Profile Details

NPI number 1215055983
LBN Legal business name Sullivan, Tiffany
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 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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