Devine, Sandra Walsh
Devine, Sandra Walsh is an sole proprietor health care provider with primary practice located at 300 Professional Center Dr Suite 322, Novato CA 94947-4334. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Devine, Sandra Walsh can be contacted via phone (415) 884-9003.Contact Information
Primary practice address
300 Professional Center Dr Suite 322
Novato CA 94947-4334
Phone: (415) 884-9003
Fax: (415) 884-9003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS11548 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 11548 | California |
Profile Details
| NPI number | 1487756110 |
|---|---|
| LBN Legal business name | Devine, Sandra Walsh |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jan 27th, 2016 - 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 | 1487756110 | NPPES |
| California | Other | LCS11548 | BOARD OF BEHAV SCIENCE |
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