Brian Patrick Sullivan in Lewisville - Psychologist
Brian Patrick Sullivan - NPI 1174537120
Brian Patrick Sullivan is a Psychologist in Lewisville, North Carolina. Brian Patrick Sullivan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brian Patrick Sullivan is 1174537120. The last update date is 2021-08-23.
Brian Patrick Sullivan's current location address is 204 Fernham Pl, Lewisville, North Carolina. You can contact this provider via phone number 3369454721. The mailing address for Brian Patrick Sullivan is 204 Fernham Pl, Lewisville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Patrick Sullivan |
|---|---|
| Address | 204 Fernham Pl, Lewisville, North Carolina |
| Phone Number | 3369454721 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1174537120 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2021-08-23 |
Provider Mailing Address Detail
| Address | 204 Fernham Pl |
|---|---|
| City | Lewisville |
| State | North Carolina (NC) |
| Post Code | 270239516 |
| Phone Number | 3369454721 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1442 |
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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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What is the unique identification code assigned to Brian Patrick Sullivan by the Centers for Medicare & Medicaid Services?
The Brian Patrick Sullivan has been issued the NPI (National Provider Identifier) 1174537120. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brian Patrick Sullivan's physical address?
The Brian Patrick Sullivan is physically located at 204 Fernham Pl, in the city of Lewisville, NC, with the postal code 270239516.
What is Brian Patrick Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brian Patrick Sullivan is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
When did Brian Patrick Sullivan receive its 1174537120 assignment?
The Brian Patrick Sullivan was assigned its 1174537120 on 2006-07-27, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Brian Patrick Sullivan most recently updated or revised?
The information pertaining to Brian Patrick Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2021-08-23.