Sandbulte, Shelley Lynn

Sandbulte, Shelley Lynn is an individual health care provider with primary practice located at 2210 S Brown Pl , Sioux Falls SD 57105-6582. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Sandbulte, Shelley Lynn can be contacted via phone (605) 332-1700.

Contact Information

Primary practice address
2210 S Brown Pl Sioux Falls SD 57105-6582
Fax: (605) 336-9031
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 311 South Dakota

Profile Details

NPI number 1871587253
LBN Legal business name Sandbulte, Shelley Lynn
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 5th, 2012 - about 14 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 1871587253 NPPES
South Dakota MEDICAID 6550683

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