LEANN SULLIVAN


Address: 9502 Parker Place Dr, Navarre, FL 32566-2873
Phone: 7576173208

LEANN SULLIVAN (NPI# 1235694456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235694456
Entity Type Individual
Full Name LEANN SULLIVAN
Credential MS
Practice Address 9502 Parker Place Dr
Navarre
FL 32566-2873
Practice Telephone 7576173208
Mailing Telephone 7576173208
Enumeration Date 2019-02-01
Last Update Date 2019-02-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Other Providers LEANN SULLIVAN

NPI Name Taxonomy Address Enumeration
1598936908 Leann Sullivan Home Health Aide 16077 N Glacier Peak Dr, Nampa, ID 83651-8723 2008-03-13

Office Location

Street Address 9502 PARKER PLACE DR
City NAVARRE
State FL
Zip Code 32566-2873

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City NAVARRE
Zip Code 32566

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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