Richard Sullivan in Bloomington - Psychologist
Richard Sullivan - NPI 1912932468
Richard Sullivan is a Psychologist in Bloomington, Minnesota. Richard Sullivan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Richard Sullivan is 1912932468. The last update date is 2021-03-11.
Richard Sullivan's current location address is 7920 Old Cedar Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9528511000 and fax number 9528511092. The mailing address for Richard Sullivan is 7920 Old Cedar Ave S, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Sullivan |
|---|---|
| Address | 7920 Old Cedar Ave S, Bloomington, Minnesota |
| Phone Number | 9528511000 |
| Fax Number | 9528511092 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1912932468 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 7920 Old Cedar Ave S |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554251207 |
| Phone Number | 9528511000 |
| Fax Number | 9528511092 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4326 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 459093700 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Richard Sullivan by the Centers for Medicare & Medicaid Services?
The Richard Sullivan has been assigned the NPI (National Provider Identifier) 1912932468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard Sullivan?
The Richard Sullivan is situated at 7920 Old Cedar Ave S, in the city of Bloomington, state of MN, with the zip code 554251207.
What is Richard Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard Sullivan's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did the Richard Sullivan receive its 1912932468?
The Richard Sullivan was issued its 1912932468 on 2006-07-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Richard Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-11.