Sullivan Center For Children A Psychological Corporation in Fresno - Clinical
Sullivan Center For Children A Psychological Corporation - NPI 1508910449
Sullivan Center For Children A Psychological Corporation is a Clinical in Fresno, California. Sullivan Center For Children A Psychological Corporation practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sullivan Center For Children A Psychological Corporation is 1508910449. The last update date is 2018-12-05.
Sullivan Center For Children A Psychological Corporation's current location address is 3443 W Shaw Ave, Fresno, California. You can contact this provider via phone number 5592711186 and fax number 5592718041. The mailing address for Sullivan Center For Children A Psychological Corporation is 3443 W Shaw Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sullivan Center For Children A Psychological Corporation |
|---|---|
| Address | 3443 W Shaw Ave, Fresno, California |
| Phone Number | 5592711186 |
| Fax Number | 5592718041 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Sullivan Marie Kathleen |
| Credentials | PH.D. |
| Telephone Number | 5592711186 |
NPI Number Detail
| NPI Number | 1508910449 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2018-12-05 |
Provider Mailing Address Detail
| Address | 3443 W Shaw Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937113204 |
| Phone Number | 5592711186 |
| Fax Number | 5592718041 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY14397 |
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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 Sullivan Center For Children A Psychological Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Sullivan Center For Children A Psychological Corporation has been assigned the NPI (National Provider Identifier) 1508910449. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Sullivan Center For Children A Psychological Corporation's physical address?
The Sullivan Center For Children A Psychological Corporation is physically located at 3443 W Shaw Ave, in the city of Fresno, CA, with the postal code 937113204.
What is Sullivan Center For Children A Psychological Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sullivan Center For Children A Psychological Corporation's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Sullivan Center For Children A Psychological Corporation receive its 1508910449?
The Sullivan Center For Children A Psychological Corporation was issued its 1508910449 on 2007-01-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Sullivan Center For Children A Psychological Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sullivan Center For Children A Psychological Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-12-05.