Sullivan, Sandra Judd

Sullivan, Sandra Judd is an sole proprietor health care provider with primary practice located at 155 Bovet Rd Suite 404, San Mateo CA 94402-3108. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Sandra Judd can be contacted via phone (650) 762-6752.

Contact Information

Primary practice address
155 Bovet Rd Suite 404 San Mateo CA 94402-3108
Phone: (650) 762-6752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20296 California

Profile Details

NPI number 1073851663
LBN Legal business name Sullivan, Sandra Judd
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2013
Last updated Jan 16th, 2013 - about 13 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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