Wiley Dewayne Sutton in Lakewood - Clinical
Wiley Dewayne Sutton - NPI 1932367380
Wiley Dewayne Sutton is a Clinical in Lakewood, California. Wiley Dewayne Sutton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wiley Dewayne Sutton is 1932367380. The last update date is 2008-05-31.
Wiley Dewayne Sutton's current location address is Po Box 250, Lakewood, California. You can contact this provider via phone number 5625957102. The mailing address for Wiley Dewayne Sutton is Po Box 250, Lakewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wiley Dewayne Sutton |
|---|---|
| Address | Po Box 250, Lakewood, California |
| Phone Number | 5625957102 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1932367380 |
|---|---|
| Provider Enumeration Date | 2008-05-31 |
| Last Updated Date | 2008-05-31 |
Provider Mailing Address Detail
| Address | Po Box 250 |
|---|---|
| City | Lakewood |
| State | California (CA) |
| Post Code | 907140250 |
| Phone Number | 5625957102 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY4467 |
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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 10-digit identification code issued to Wiley Dewayne Sutton by the Centers for Medicare & Medicaid Services?
The Wiley Dewayne Sutton has been assigned the NPI (National Provider Identifier) 1932367380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wiley Dewayne Sutton?
The Wiley Dewayne Sutton is situated at Po Box 250, in the city of Lakewood, state of CA, with the zip code 907140250.
What is Wiley Dewayne Sutton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wiley Dewayne Sutton's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1932367380 assigned to Wiley Dewayne Sutton?
The Wiley Dewayne Sutton was issued its 1932367380 on 2008-05-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Wiley Dewayne Sutton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wiley Dewayne Sutton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-31.
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