Paula A Sullivan in Indianapolis - Clinical Child & Adolescent

Paula A Sullivan - NPI 1811000169

Paula A Sullivan is a Clinical Child & Adolescent in Indianapolis, Indiana. Paula A Sullivan practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Paula A Sullivan is 1811000169. The last update date is 2020-11-20.

Paula A Sullivan's current location address is 1002 Wishard Blvd Ste 2120, Indianapolis, Indiana. You can contact this provider via phone number 3179448162 and fax number 3179449760. The mailing address for Paula A Sullivan is 1002 Wishard Blvd Ste 2120, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Paula A Sullivan
Address 1002 Wishard Blvd Ste 2120, Indianapolis, Indiana
Phone Number 3179448162
Fax Number 3179449760
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1811000169
Provider Enumeration Date 2006-08-17
Last Updated Date 2020-11-20

Provider Mailing Address Detail

Address 1002 Wishard Blvd Ste 2120
City Indianapolis
State Indiana (IN)
Post Code 462022872
Phone Number 3179448162
Fax Number 3179449760

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 20040129
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100218710 IN --

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FAQs about Paula A Sullivan

What is the unique identifier code issued to Paula A Sullivan by the Centers for Medicare & Medicaid Services?

The Paula A Sullivan has been assigned the NPI (National Provider Identifier) 1811000169. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Paula A Sullivan is located?

The Paula A Sullivan is situated at the following address: 1002 Wishard Blvd Ste 2120, Indianapolis, IN, 462022872.

What is Paula A Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Paula A Sullivan is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.

When was the Paula A Sullivan's 1811000169 issued?

The Paula A Sullivan's 1811000169 was issued on 2006-08-17.

As of what date were the details related to Paula A Sullivan most recently updated or revised?

The information pertaining to Paula A Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-20.

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