Waller, Sally Ann
Waller, Sally Ann is an sole proprietor health care provider with primary practice located at 17321 Evanston Ave N , Shoreline WA 98133-5235. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Waller, Sally Ann can be contacted via phone (206) 533-0776.Contact Information
Primary practice address
17321 Evanston Ave N
Shoreline WA 98133-5235
Phone: (206) 533-0776
Fax: (206) 533-0776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00005716 | Washington |
Profile Details
| NPI number | 1508876582 |
|---|---|
| LBN Legal business name | Waller, Sally Ann |
| Credentials | PHD, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| 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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