Fulkerson, Suzanne
Fulkerson, Suzanne is an sole proprietor health care provider with primary practice located at 205 N College Ave Suite 613, Bloomington IN 47404-3950. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fulkerson, Suzanne can be contacted via phone (812) 334-2858.Contact Information
Primary practice address
205 N College Ave Suite 613
Bloomington IN 47404-3950
Phone: (812) 334-2858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39000832A | Indiana |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35000589A | Indiana |
Profile Details
| NPI number | 1144435678 |
|---|---|
| LBN Legal business name | Fulkerson, Suzanne |
| Credentials | LMHC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 8th, 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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