Sullivan, Laura Jean

Sullivan, Laura Jean is an individual health care provider with primary practice located at 100 Prison Rd , Represa CA 95671-3000. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Sullivan, Laura Jean can be contacted via phone (916) 985-8610.

Contact Information

Primary practice address
100 Prison Rd Represa CA 95671-3000
Phone: (916) 985-8610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY 22206 California

Profile Details

NPI number 1184861882
LBN Legal business name Sullivan, Laura Jean
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2009
Last updated Jan 16th, 2009 - about 17 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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