TONALISHA MONIQUE SULLIVAN NPI 1720565286

NPI Information

NPI: 1720565286
Provider Name: TONALISHA MONIQUE SULLIVAN
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
5730 GARFIELD AVE
KANSAS CITY, MO
ZIP 64130
Phone: (913) 940-0219
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Tonalisha Monique Sullivan is an intellectual and developmental disabilities in Kansas City, MO. Tonalisha Monique Sullivan NPI is 1720565286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5730 GARFIELD AVE
KANSAS CITY, MO
ZIP 64130-340
Phone: (913) 940-0219

The enumeration date for this NPI number is 7/26/2018 and was last updated on 7/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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