Sullender, R Scott

Sullender, R Scott is an individual health care provider with primary practice located at 15 Austin , San Anselmo CA 94960-2925. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sullender, R Scott can be contacted via phone (415) 258-6652.

Contact Information

Primary practice address
15 Austin San Anselmo CA 94960-2925
Phone: (415) 258-6652
Fax: (415) 256-9801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY8931 California

Profile Details

NPI number 1427169648
LBN Legal business name Sullender, R Scott
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1427169648 NPPES
California MEDICAID PB0089310

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