Paul Sullivan is a Clinical in Costa Mesa, California. Paul Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Sullivan is 1689873994. The last update date is 2007-07-16.
Paul Sullivan's current location address is 2900 Bristol St, Costa Mesa, California. You can contact this provider via phone number 7144320042. The mailing address for Paul Sullivan is 2900 Bristol St, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Sullivan |
|---|---|
| Address | 2900 Bristol St, Costa Mesa, California |
| Phone Number | 7144320042 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1689873994 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 2900 Bristol St |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926265981 |
| Phone Number | 7144320042 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18437 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Paul Sullivan by the Centers for Medicare & Medicaid Services?
The Paul Sullivan has been assigned the NPI (National Provider Identifier) 1689873994. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paul Sullivan is physically located?
The Paul Sullivan is physically situated at the following address: 2900 Bristol St, Costa Mesa, CA, 926265981.
What is Paul Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Sullivan's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Paul Sullivan receive its 1689873994?
The Paul Sullivan was issued its 1689873994 on 2007-07-16, which is the date when the organization was assigned this unique identifier.
As of what date were the Paul Sullivan's details last updated?
The information pertaining to the Paul Sullivan, including its address, specialty, and other details, was most recently updated on 2007-07-16.