Matthew Tyler Sullivan in Palo Alto - Counselor
Matthew Tyler Sullivan - NPI 1881802809
Matthew Tyler Sullivan is a Counselor in Palo Alto, California. Matthew Tyler Sullivan practices all healthcare services and medical treatments related to Counselor. The NPI Number for Matthew Tyler Sullivan is 1881802809. The last update date is 2007-07-08.
Matthew Tyler Sullivan's current location address is 439 Maureen Ave, Palo Alto, California. You can contact this provider via phone number 6508568638. The mailing address for Matthew Tyler Sullivan is 439 Maureen Ave, Palo Alto, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew Tyler Sullivan |
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Address | 439 Maureen Ave, Palo Alto, California |
Phone Number | 6508568638 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1881802809 |
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Provider Enumeration Date | 2007-05-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 439 Maureen Ave |
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City | Palo Alto |
State | California (CA) |
Post Code | 943063621 |
Phone Number | 6508568638 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identifier code assigned to Matthew Tyler Sullivan by the Centers for Medicare & Medicaid Services?
The Matthew Tyler Sullivan has been issued the NPI (National Provider Identifier) 1881802809 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Matthew Tyler Sullivan?
The Matthew Tyler Sullivan is situated at 439 Maureen Ave, in the city of Palo Alto, state of CA, with the zip code 943063621.
What is Matthew Tyler Sullivan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew Tyler Sullivan is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881802809 to Matthew Tyler Sullivan?
The Matthew Tyler Sullivan received its 1881802809 assignment from the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date were the details pertaining to Matthew Tyler Sullivan last refreshed?
The information related to the Matthew Tyler Sullivan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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