Sally L Pettus is a Clinical in North Dartmouth, Massachusetts. Sally L Pettus practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sally L Pettus is 1821119801. The last update date is 2007-07-08.
Sally L Pettus's current location address is 400 Faunce Corner Rd, North Dartmouth, Massachusetts. You can contact this provider via phone number 5089956400. The mailing address for Sally L Pettus is 400 Faunce Corner Rd, North Dartmouth, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally L Pettus |
|---|---|
| Address | 400 Faunce Corner Rd, North Dartmouth, Massachusetts |
| Phone Number | 5089956400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | SALLY PETT |
NPI Number Detail
| NPI Number | 1821119801 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Faunce Corner Rd |
|---|---|
| City | North Dartmouth |
| State | Massachusetts (MA) |
| Post Code | 27471275 |
| Phone Number | 5089956400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | MA2099 |
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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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Post Comment/ Review Below
What is the Sally L Pettus's unique identification number?
The Sally L Pettus has been assigned the NPI (National Provider Identifier) Number 1821119801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Sally L Pettus is located?
The Sally L Pettus is situated at the following address: 400 Faunce Corner Rd, North Dartmouth, MA, 27471275.
What is Sally L Pettus's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sally L Pettus's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Sally L Pettus receive its 1821119801?
The Sally L Pettus was issued its 1821119801 on 2007-04-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Sally L Pettus, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sally L Pettus, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.