Doctor Name: | THOMAS SUTHERLAND |
NPI Number: | 1538564133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 5862 N Carlson St Westland, MI - 481858104 |
Business Phone Number: | 7346120287 |
Business Fax Number: | |
Mailing Address: | 5862 N Carlson St, WESTLAND |
State: | MI |
Postal Code: | 481858104 |
Phone Number: | 7346120287 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |