Teri Rae Sullivan in Overland Park - Clinical
Teri Rae Sullivan - NPI 1023050168
Teri Rae Sullivan is a Clinical in Overland Park, Kansas. Teri Rae Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teri Rae Sullivan is 1023050168. The last update date is 2008-01-17.
Teri Rae Sullivan's current location address is 7180 W 107th St, Overland Park, Kansas. You can contact this provider via phone number 9133415700 and fax number 9133415750. The mailing address for Teri Rae Sullivan is 7180 W 107th St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teri Rae Sullivan |
|---|---|
| Address | 7180 W 107th St, Overland Park, Kansas |
| Phone Number | 9133415700 |
| Fax Number | 9133415750 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1023050168 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 7180 W 107th St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662122523 |
| Phone Number | 9133415700 |
| Fax Number | 9133415750 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | KS0442 |
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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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What is the Teri Rae Sullivan's unique identification number?
The Teri Rae Sullivan has been assigned the NPI (National Provider Identifier) Number 1023050168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Teri Rae Sullivan is geographically located?
The Teri Rae Sullivan is physically situated at the following location: 7180 W 107Th St, Overland Park, KS, 662122523.
What is the area of specialization for Teri Rae Sullivan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Teri Rae Sullivan is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1023050168 assigned to Teri Rae Sullivan?
The Teri Rae Sullivan was issued its 1023050168 on 2006-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Teri Rae Sullivan most recently updated or revised?
The information pertaining to Teri Rae Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-17.
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