Glinda Mae Sullivan in Chesterfield - Clinical
Glinda Mae Sullivan - NPI 1679793897
Glinda Mae Sullivan is a Clinical in Chesterfield, Missouri. Glinda Mae Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glinda Mae Sullivan is 1679793897. The last update date is 2012-07-23.
Glinda Mae Sullivan's current location address is 106 4 Seasons Ctr, Chesterfield, Missouri. You can contact this provider via phone number 5735287569. The mailing address for Glinda Mae Sullivan is 106 4 Seasons Ctr, Chesterfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glinda Mae Sullivan |
|---|---|
| Address | 106 4 Seasons Ctr, Chesterfield, Missouri |
| Phone Number | 5735287569 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1679793897 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2012-07-23 |
Provider Mailing Address Detail
| Address | 106 4 Seasons Ctr |
|---|---|
| City | Chesterfield |
| State | Missouri (MO) |
| Post Code | 630173173 |
| Phone Number | 5735287569 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2004024741 |
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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 |
|---|---|---|---|
| 499462307 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Glinda Mae Sullivan by the Centers for Medicare & Medicaid Services?
The Glinda Mae Sullivan has been issued the NPI (National Provider Identifier) 1679793897 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Glinda Mae Sullivan is located?
The Glinda Mae Sullivan is situated at the following address: 106 4 Seasons Ctr, Chesterfield, MO, 630173173.
What is Glinda Mae Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glinda Mae Sullivan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679793897 to Glinda Mae Sullivan?
The Glinda Mae Sullivan received its 1679793897 assignment from the Centers for Medicare & Medicaid Services on 2007-04-27.
When was the Glinda Mae Sullivan's information last updated?
The Glinda Mae Sullivan's information was last updated on 2012-07-23.