Georgina Ines Lamphere Sulliv in Rancho Cucamonga - Clinical

Georgina Ines Lamphere Sulliv - NPI 1487633616

Georgina Ines Lamphere Sulliv is a Clinical in Rancho Cucamonga, California. Georgina Ines Lamphere Sulliv practices all healthcare services and medical treatments related to Clinical. The NPI Number for Georgina Ines Lamphere Sulliv is 1487633616. The last update date is 2019-05-20.

Georgina Ines Lamphere Sulliv's current location address is 8253 White Oak Ave, Rancho Cucamonga, California. You can contact this provider via phone number 9099871997 and fax number 9099780993. The mailing address for Georgina Ines Lamphere Sulliv is 8253 White Oak Ave, Rancho Cucamonga, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Georgina Ines Lamphere Sulliv
Address 8253 White Oak Ave, Rancho Cucamonga, California
Phone Number 9099871997
Fax Number 9099780993
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1487633616
Provider Enumeration Date 2006-01-16
Last Updated Date 2019-05-20

Provider Mailing Address Detail

Address 8253 White Oak Ave
City Rancho Cucamonga
State California (CA)
Post Code 917307671
Phone Number 9099871997
Fax Number 9099780993

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY 10649
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY 10649 CA PH.D. LICENSE

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FAQs about Georgina Ines Lamphere Sulliv

What is the Georgina Ines Lamphere Sulliv's unique identification number?

The Georgina Ines Lamphere Sulliv has been assigned the NPI (National Provider Identifier) Number 1487633616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Georgina Ines Lamphere Sulliv's facilities are geographically located?

The facilities of Georgina Ines Lamphere Sulliv are physically situated at the following location: 8253 White Oak Ave, Rancho Cucamonga, CA, 917307671.

What is Georgina Ines Lamphere Sulliv's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Georgina Ines Lamphere Sulliv is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

When did the Georgina Ines Lamphere Sulliv receive its 1487633616?

The Georgina Ines Lamphere Sulliv was issued its 1487633616 on 2006-01-16, which is the date when the organization was assigned this unique identifier.

When was the Georgina Ines Lamphere Sulliv's information last updated?

The Georgina Ines Lamphere Sulliv's information was last updated on 2019-05-20.

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