Tillman, Kathleen Suzanne

Tillman, Kathleen Suzanne is an individual health care provider with primary practice located at 2100 S Columbia Road, Suite 202 Family Institute, Pc, Grand Forks ND 58201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Tillman, Kathleen Suzanne can be contacted via phone (701) 282-9510.

Contact Information

Primary practice address
2100 S Columbia Road, Suite 202 Family Institute, Pc Grand Forks ND 58201
Phone: (701) 282-9510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1225579840
LBN Legal business name Tillman, Kathleen Suzanne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2017
Last updated Mar 15th, 2017 - about 8 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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