| Anthony M Sullivan Psychological Services Llc | |
|
608 S 9th St Canon City CO 81212-4910 | |
| (719) 275-5185 | |
| Not Available |
| Full Name | Anthony M Sullivan Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 608 S 9th St, Canon City, Colorado |
| Authorized Official Name and Position | Anthony Sullivan (OWNER) |
| Authorized Official Contact | 7192755185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony M Sullivan Psychological Services Llc 608 S 9th St Canon City CO 81212-4910 Ph: (719) 275-5185 | Anthony M Sullivan Psychological Services Llc 608 S 9th St Canon City CO 81212-4910 Ph: (719) 275-5185 |
| NPI Number | 1770275869 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770275869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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