Dr Virginia Mary Sullivan, PHD - Couples Therapy in Corona, CA

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Dr Virginia Mary Sullivan, PHD is a Psychologist based in Corona, California. Dr Virginia Mary Sullivan is licensed to practice in California (license number 12546) and her current practice location is 2055 Kellogg Ave, Corona, California. She can be reached at her office (for appointments etc.) via phone at (951) 898-7171.

NPI number for Dr Virginia Mary Sullivan is 1235335803 and her current mailing address is 387 Magnolia Ave Ste 103-406, Corona, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235335803.

Contact Information

Dr Virginia Mary Sullivan, PHD
2055 Kellogg Ave,
Corona, CA 92879-3111
(951) 898-7171
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Virginia Mary Sullivan
GenderFemale
SpecialityPsychologist
Location2055 Kellogg Ave, Corona, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235335803
  • Provider Enumeration Date: 06/21/2007
  • Last Update Date: 12/02/2021

Medical Identifiers

Medical identifiers for Dr Virginia Mary Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235335803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 17121 (California)Secondary
103T00000XPsychologist 12546 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Virginia Mary Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Virginia Mary Sullivan, PHD
387 Magnolia Ave Ste 103-406,
Corona, CA 92879-3307

Ph: (951) 518-2312		Dr Virginia Mary Sullivan, PHD
2055 Kellogg Ave,
Corona, CA 92879-3111

Ph: (951) 898-7171

Reviews and Comments


Psychologist in Corona, CA


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