Mccosker, Summer

Mccosker, Summer is an individual health care provider with primary practice located at 1305 E Vine St , Lodi CA 95240-3179. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mccosker, Summer can be contacted via phone (209) 953-9245.

Contact Information

Primary practice address
1305 E Vine St Lodi CA 95240-3179
Phone: (209) 953-9245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 973251

Profile Details

NPI number 1790514321
LBN Legal business name Mccosker, Summer
Credentials ED.S AND NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2024
Last updated Jul 31st, 2024 - about 2 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.

Request for update

Popular Providers