Anthony Michael Sullivan in Canon City - Clinical
Anthony Michael Sullivan - NPI 1245362615
Anthony Michael Sullivan is a Clinical in Canon City, Colorado. Anthony Michael Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Anthony Michael Sullivan is 1245362615. The last update date is 2020-07-29.
Anthony Michael Sullivan's current location address is 3225 Independence Rd, Canon City, Colorado. You can contact this provider via phone number 7192752351 and fax number 7192699386. The mailing address for Anthony Michael Sullivan is 3225 Independence Rd, Canon City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Michael Sullivan |
|---|---|
| Address | 3225 Independence Rd, Canon City, Colorado |
| Phone Number | 7192752351 |
| Fax Number | 7192699386 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1245362615 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2020-07-29 |
Provider Mailing Address Detail
| Address | 3225 Independence Rd |
|---|---|
| City | Canon City |
| State | Colorado (CO) |
| Post Code | 812129380 |
| Phone Number | 7192752351 |
| Fax Number | 7192699386 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3490 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26350246 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Anthony Michael Sullivan by the Centers for Medicare & Medicaid Services?
The Anthony Michael Sullivan has been assigned the NPI (National Provider Identifier) 1245362615. 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 share the complete physical address where Anthony Michael Sullivan is geographically located?
The Anthony Michael Sullivan is physically situated at the following location: 3225 Independence Rd, Canon City, CO, 812129380.
What is Anthony Michael Sullivan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Anthony Michael Sullivan is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1245362615 assigned to Anthony Michael Sullivan?
The Anthony Michael Sullivan was issued its 1245362615 on 2007-03-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Anthony Michael Sullivan's details last updated?
The information pertaining to the Anthony Michael Sullivan, including its address, specialty, and other details, was most recently updated on 2020-07-29.
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