Weatherup, Saundra Y
Weatherup, Saundra Y is an sole proprietor health care provider with primary practice located at 225 Sagamore Drive , Rochester NY 14617. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weatherup, Saundra Y can be contacted via phone (585) 467-3751.Contact Information
Primary practice address
225 Sagamore Drive
Rochester NY 14617
Phone: (585) 467-3751
Fax: (585) 756-9682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 037518R | New York |
Profile Details
| NPI number | 1770540411 |
|---|---|
| LBN Legal business name | Weatherup, Saundra Y |
| Credentials | LCSWR BCD SAP DABFSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Apr 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770540411 | NPPES |
| New York | MEDICAID | 015730195 |
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