Sullivan, Joyce Ann
Sullivan, Joyce Ann is an sole proprietor health care provider with primary practice located at 167 Main St Ste 401 , Brattleboro VT 05301-3017. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Sullivan, Joyce Ann can be contacted via phone (802) 376-5076.Contact Information
Primary practice address
167 Main St Ste 401
Brattleboro VT 05301-3017
Phone: (802) 376-5076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000316 | Vermont |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 047-0000661 | Vermont |
Profile Details
| NPI number | 1194814988 |
|---|---|
| LBN Legal business name | Sullivan, Joyce Ann |
| Credentials | MA, LADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194814988 | NPPES |
| Vermont | MEDICAID | OVN1637 |
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