Pamela J Sullivan in Clarksburg - Psychiatry

Pamela J Sullivan - NPI 1356314306

Pamela J Sullivan is a Psychiatry in Clarksburg, . Pamela J Sullivan practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Pamela J Sullivan is 1356314306. The last update date is 2012-04-10.

Pamela J Sullivan's current location address is 1 Medical Center Drive, Clarksburg, . You can contact this provider via phone number 3046233461 and fax number 3026237666. The mailing address for Pamela J Sullivan is 1 Medical Center Drive, Clarksburg, . To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela J Sullivan
Address 1 Medical Center Drive, Clarksburg,
Phone Number 3046233461
Fax Number 3026237666
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1356314306
Provider Enumeration Date 2006-02-09
Last Updated Date 2012-04-10

Provider Mailing Address Detail

Address 1 Medical Center Drive
City Clarksburg
State (WV)
Post Code 263014199
Phone Number 3046233461
Fax Number 3026237666

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 12090
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
260024338 WV RAILROAD MEDICARE
116952000 WV --

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FAQs about Pamela J Sullivan

What is the unique identification code assigned to Pamela J Sullivan by the Centers for Medicare & Medicaid Services?

The Pamela J Sullivan has been issued the NPI (National Provider Identifier) 1356314306. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Pamela J Sullivan is physically located?

The Pamela J Sullivan is situated at the following address: 1 Medical Center Drive, Clarksburg, WV 263014199.

What is Pamela J Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Pamela J Sullivan's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1356314306 to Pamela J Sullivan?

The Pamela J Sullivan received its 1356314306 assignment from the Centers for Medicare & Medicaid Services on 2006-02-09.

When was the Pamela J Sullivan's information last updated?

The Pamela J Sullivan's information was last updated on 2012-04-10.

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