Rodney Anthony Sullivan in Johnson City - Clinical Neuropsychologist
Rodney Anthony Sullivan - NPI 1790877561
Rodney Anthony Sullivan is a Clinical Neuropsychologist in Johnson City, Tennessee. Rodney Anthony Sullivan practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Rodney Anthony Sullivan is 1790877561. The last update date is 2012-09-04.
Rodney Anthony Sullivan's current location address is 2 Redbush Ct, Johnson City, Tennessee. You can contact this provider via phone number 4239520992. The mailing address for Rodney Anthony Sullivan is 2 Redbush Ct, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney Anthony Sullivan |
|---|---|
| Address | 2 Redbush Ct, Johnson City, Tennessee |
| Phone Number | 4239520992 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1790877561 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2012-09-04 |
Provider Mailing Address Detail
| Address | 2 Redbush Ct |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376014340 |
| Phone Number | 4239520992 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | P0000001569 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Rodney Anthony Sullivan by the Centers for Medicare & Medicaid Services?
The Rodney Anthony Sullivan has been issued the NPI (National Provider Identifier) 1790877561 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Rodney Anthony Sullivan is physically located?
The Rodney Anthony Sullivan is physically situated at the following address: 2 Redbush Ct, Johnson City, TN, 376014340.
What is Rodney Anthony Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rodney Anthony Sullivan's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790877561 to Rodney Anthony Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1790877561 to Rodney Anthony Sullivan on 2006-09-29.
As of what date were the details related to Rodney Anthony Sullivan most recently updated or revised?
The information pertaining to Rodney Anthony Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-04.