Suellyn M Mahan is a School in Terre Haute, Indiana. Suellyn M Mahan practices all healthcare services and medical treatments related to School. The NPI Number for Suellyn M Mahan is 1316930357. The last update date is 2010-08-04.
Suellyn M Mahan's current location address is 1400 E Pugh Dr, Terre Haute, Indiana. You can contact this provider via phone number 8122369569 and fax number 8122352929. The mailing address for Suellyn M Mahan is 1400 E Pugh Dr, Terre Haute, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suellyn M Mahan |
|---|---|
| Address | 1400 E Pugh Dr, Terre Haute, Indiana |
| Phone Number | 8122369569 |
| Fax Number | 8122352929 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1316930357 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2010-08-04 |
Provider Mailing Address Detail
| Address | 1400 E Pugh Dr |
|---|---|
| City | Terre Haute |
| State | Indiana (IN) |
| Post Code | 478023942 |
| Phone Number | 8122369569 |
| Fax Number | 8122352929 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 20041149 |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200154190 | IN | -- |
Post Comment/ Review Below
What is the Suellyn M Mahan's 1316930357?
The Suellyn M Mahan's NPI (National Provider Identifier) Number is 1316930357. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Suellyn M Mahan is physically located?
The Suellyn M Mahan is situated at the following address: 1400 E Pugh Dr, Terre Haute, IN 478023942.
What is Suellyn M Mahan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Suellyn M Mahan's area of specialization is School, and the corresponding taxonomy code that categorizes this field of practice is 103Ts0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316930357 to Suellyn M Mahan?
The Centers for Medicare & Medicaid Services assigned the 1316930357 to Suellyn M Mahan on 2005-08-24.
When was the information pertaining to Suellyn M Mahan most recently updated or revised?
The details related to Suellyn M Mahan, including its address, specialty, and other relevant information, were last updated or revised on 2010-08-04.
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