Therese Celine Sulentich in Lake Forest - Clinical

Therese Celine Sulentich - NPI 1437246261

Therese Celine Sulentich is a Clinical in Lake Forest, Illinois. Therese Celine Sulentich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Therese Celine Sulentich is 1437246261. The last update date is 2007-07-08.

Therese Celine Sulentich's current location address is 725 N. Mckinley Road, Lake Forest, Illinois. You can contact this provider via phone number 8479175683 and fax number 8472953636. The mailing address for Therese Celine Sulentich is 725 N. Mckinley Road, Lake Forest, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Therese Celine Sulentich
Address 725 N. Mckinley Road, Lake Forest, Illinois
Phone Number 8479175683
Fax Number 8472953636
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1437246261
Provider Enumeration Date 2006-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 725 N. Mckinley Road
City Lake Forest
State Illinois (IL)
Post Code 600451850
Phone Number 8479175683
Fax Number 8472953636

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
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
1671411 IL BLUE CROSS AND BLUE SHIEL
35824 IL MAGELLAN HEALTH PROVIDER
8662099320 IL UNITED BEHAVIORAL HEALTH

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FAQs about Therese Celine Sulentich

What is the unique identification code assigned to Therese Celine Sulentich by the Centers for Medicare & Medicaid Services?

The Therese Celine Sulentich has been issued the NPI (National Provider Identifier) 1437246261. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Therese Celine Sulentich's facilities are geographically located?

The facilities of Therese Celine Sulentich are physically situated at the following location: 725 N. Mckinley Road, Lake Forest, IL, 600451850.

What is Therese Celine Sulentich's area of expertise and its corresponding taxonomy classification?

The Therese Celine Sulentich's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

On what date did Therese Celine Sulentich receive its 1437246261 assignment from the Centers for Medicare & Medicaid Services?

The Therese Celine Sulentich was assigned its 1437246261 on 2006-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Therese Celine Sulentich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Therese Celine Sulentich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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