Buchholz, Susan W

Buchholz, Susan W is an sole proprietor health care provider with primary practice located at 1174 Castro St Ste 275 , Mountain View CA 94040-2571. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buchholz, Susan W can be contacted via phone (650) 988-8011.

Contact Information

Primary practice address
1174 Castro St Ste 275 Mountain View CA 94040-2571
Phone: (650) 988-8011
Fax: (650) 988-8012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10561 California

Profile Details

NPI number 1891817532
LBN Legal business name Buchholz, Susan W
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891817532 NPPES
California Other PSY10561 LICENSE

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