Shelley Olivia Sutton in San Leandro - Child & Adolescent Psychiatry
Shelley Olivia Sutton - NPI 1942307814
Shelley Olivia Sutton is a Child & Adolescent Psychiatry in San Leandro, California. Shelley Olivia Sutton practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Shelley Olivia Sutton is 1942307814. The last update date is 2022-03-22.
Shelley Olivia Sutton's current location address is 2045 Fairmont Dr, San Leandro, California. You can contact this provider via phone number 5106677540. The mailing address for Shelley Olivia Sutton is 2045 Fairmont Dr, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley Olivia Sutton |
|---|---|
| Address | 2045 Fairmont Dr, San Leandro, California |
| Phone Number | 5106677540 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942307814 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2022-03-22 |
Provider Mailing Address Detail
| Address | 2045 Fairmont Dr |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 945781088 |
| Phone Number | 5106677540 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 4301093327 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208800300 | MO | -- | |
| 177466 | MO | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Shelley Olivia Sutton by the Centers for Medicare & Medicaid Services?
The Shelley Olivia Sutton has been issued the NPI (National Provider Identifier) 1942307814. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shelley Olivia Sutton?
The Shelley Olivia Sutton is situated at 2045 Fairmont Dr, in the city of San Leandro, state of CA, with the zip code 945781088.
What is Shelley Olivia Sutton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shelley Olivia Sutton is Child & Adolescent Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0804X.
When did the Shelley Olivia Sutton receive its 1942307814?
The Shelley Olivia Sutton was issued its 1942307814 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Shelley Olivia Sutton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shelley Olivia Sutton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-22.