Timothy Shawn Sullivan in Akron - Clinical

Timothy Shawn Sullivan - NPI 1336203397

Timothy Shawn Sullivan is a Clinical in Akron, Ohio. Timothy Shawn Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Shawn Sullivan is 1336203397. The last update date is 2013-08-14.

Timothy Shawn Sullivan's current location address is 701 White Pond Dr, Akron, Ohio. You can contact this provider via phone number 3305721011 and fax number 3305721018. The mailing address for Timothy Shawn Sullivan is 701 White Pond Dr, Akron, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Shawn Sullivan
Address 701 White Pond Dr, Akron, Ohio
Phone Number 3305721011
Fax Number 3305721018
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1336203397
Provider Enumeration Date 2006-12-21
Last Updated Date 2013-08-14

Provider Mailing Address Detail

Address 701 White Pond Dr
City Akron
State Ohio (OH)
Post Code 44320
Phone Number 3305721011
Fax Number 3305721018

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 5645
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2253350 OH --

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FAQs about Timothy Shawn Sullivan

What is the unique 10-digit identification code issued to Timothy Shawn Sullivan by the Centers for Medicare & Medicaid Services?

The Timothy Shawn Sullivan has been assigned the NPI (National Provider Identifier) 1336203397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Timothy Shawn Sullivan?

The Timothy Shawn Sullivan is physically situated at 701 White Pond Dr, in the city of Akron, state of OH, with the postal code 44320.

What is Timothy Shawn Sullivan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Timothy Shawn Sullivan is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did Timothy Shawn Sullivan receive its 1336203397 assignment from the Centers for Medicare & Medicaid Services?

The Timothy Shawn Sullivan was assigned its 1336203397 on 2006-12-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Timothy Shawn Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Timothy Shawn Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-14.

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