| Daniel J. Sullivan, Psyd, Llc | |
|
4 Office Park Cir Ste 214a Mountain Brk AL 35223-2572 | |
| (205) 335-0691 | |
| (205) 941-8074 |
| Full Name | Daniel J. Sullivan, Psyd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4 Office Park Cir Ste 214a, Mountain Brk, Alabama |
| Authorized Official Name and Position | Daniel Joseph Sullivan (PRESIDENT) |
| Authorized Official Contact | 2053350691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J. Sullivan, Psyd, Llc 4 Office Park Cir Ste 214a Mountain Brk AL 35223-2572 Ph: (205) 335-0691 | Daniel J. Sullivan, Psyd, Llc 4 Office Park Cir Ste 214a Mountain Brk AL 35223-2572 Ph: (205) 335-0691 |
| NPI Number | 1720644214 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720644214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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