MS. CHARLENE A MATHLIN-SULLY


Address: 1833 Halstead Blvd, Apt. 1105, Tallahassee, FL 32309-3460
Phone: 7868777934

MS. CHARLENE A MATHLIN-SULLY (NPI# 1568609956) 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) 1568609956
Entity Type Individual
Full Name MS. CHARLENE A MATHLIN-SULLY
Credential SSP, NCSP
Practice Address 1833 Halstead Blvd
Apt. 1105
Tallahassee
FL 32309-3460
Practice Telephone 7868777934
Mailing Telephone 7868777934
Enumeration Date 2009-01-07
Last Update Date 2015-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
SS1236 FL Behavioral Health & Social Service Providers

Office Location

Street Address 1833 HALSTEAD BLVD
APT. 1105
City TALLAHASSEE
State FL
Zip Code 32309-3460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861748204 Tashara Yontae Washington Licensed Practical Nurse 1833 Halstead Blvd, Tallahassee, FL 32309-3460 2012-08-02
1659677052 Rhonda Kaye Dalton Massage Therapist 1833 Halstead Blvd, #704, Tallahassee, FL 32309-3460 2011-02-01

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1447572268 Katie Allison Psychologist 5606 Mossy Top Way, Tallahassee, FL 32303-6917 2010-02-21
1265909022 Joyce Marguerite Overstreet Psychologist 403 E Park Ave, Tallahassee, FL 32301-1515 2018-10-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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Competitor

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City TALLAHASSEE
Zip Code 32309

Improve Information

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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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