Sue Ellen Myers is a Clinical in Fulton, Missouri. Sue Ellen Myers practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sue Ellen Myers is 1992869432. The last update date is 2007-07-09.
Sue Ellen Myers's current location address is 1012 Greystone Ct, Fulton, Missouri. You can contact this provider via phone number 5736425345 and fax number 5736420891. The mailing address for Sue Ellen Myers is 1012 Greystone Ct, Fulton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Ellen Myers |
|---|---|
| Address | 1012 Greystone Ct, Fulton, Missouri |
| Phone Number | 5736425345 |
| Fax Number | 5736420891 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992869432 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1012 Greystone Ct |
|---|---|
| City | Fulton |
| State | Missouri (MO) |
| Post Code | 652511297 |
| Phone Number | 5736425345 |
| Fax Number | 5736420891 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2002006591 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 495246308 | MO | -- |
Post Comment/ Review Below
What is the Sue Ellen Myers's 1992869432?
The Sue Ellen Myers's NPI (National Provider Identifier) Number is 1992869432. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sue Ellen Myers?
The Sue Ellen Myers is situated at 1012 Greystone Ct, in the city of Fulton, state of MO, with the zip code 652511297.
What is the Sue Ellen Myers's specialty and taxonomy code?
The Sue Ellen Myers's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Sue Ellen Myers receive its 1992869432 assignment from the Centers for Medicare & Medicaid Services?
The Sue Ellen Myers was assigned its 1992869432 by the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date were the Sue Ellen Myers's details last updated?
The information pertaining to the Sue Ellen Myers, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY