Sullivan, Virginia Mary
Sullivan, Virginia Mary is an individual health care provider with primary practice located at 2055 Kellogg Ave , Corona CA 92879-3111. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Sullivan, Virginia Mary can be contacted via phone (951) 898-7171.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 17121 | California |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 12546 | California |
Profile Details
NPI number | 1235335803 |
---|---|
LBN Legal business name | Sullivan, Virginia Mary |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2007 |
Last updated | Dec 2nd, 2021 - about 4 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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