Virginia Mary Sullivan in Corona - Marriage & Family Therapist
Virginia Mary Sullivan - NPI 1235335803
Virginia Mary Sullivan is a Marriage & Family Therapist in Corona, California. Virginia Mary Sullivan practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Virginia Mary Sullivan is 1235335803. The last update date is 2021-12-02.
Virginia Mary Sullivan's current location address is 2055 Kellogg Ave, Corona, California. You can contact this provider via phone number 9518987171. The mailing address for Virginia Mary Sullivan is 2055 Kellogg Ave, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Virginia Mary Sullivan |
|---|---|
| Address | 2055 Kellogg Ave, Corona, California |
| Phone Number | 9518987171 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1235335803 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2021-12-02 |
Provider Mailing Address Detail
| Address | 2055 Kellogg Ave |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928793111 |
| Phone Number | 9518987171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 17121 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code issued to Virginia Mary Sullivan by the Centers for Medicare & Medicaid Services?
The Virginia Mary Sullivan has been assigned the NPI (National Provider Identifier) 1235335803 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Virginia Mary Sullivan is physically located?
The Virginia Mary Sullivan is physically situated at the following address: 2055 Kellogg Ave, Corona, CA, 928793111.
What is Virginia Mary Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Virginia Mary Sullivan is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235335803 to Virginia Mary Sullivan?
The Centers for Medicare & Medicaid Services assigned the 1235335803 to Virginia Mary Sullivan on 2007-06-21.
When was the information pertaining to Virginia Mary Sullivan most recently updated or revised?
The details related to Virginia Mary Sullivan, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-02.