Sullivan, Teri Rae
Sullivan, Teri Rae is an individual health care provider with primary practice located at 7180 W 107Th St Suite 20, Overland Park KS 66212-2523. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Teri Rae can be contacted via phone (913) 341-5700.Contact Information
Primary practice address
7180 W 107Th St Suite 20
Overland Park KS 66212-2523
Phone: (913) 341-5700
Fax: (913) 341-5750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | KS0442 | Kansas |
Profile Details
| NPI number | 1023050168 |
|---|---|
| LBN Legal business name | Sullivan, Teri Rae |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 17th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023050168 | NPPES |
| Kansas | MEDICAID | SUS71097 |
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