| David Sullivan Therapy Llc | |
|
2955 Valmont Rd Ste 110 Boulder CO 80301-1360 | |
| (720) 492-7254 | |
| Not Available |
| Full Name | David Sullivan Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2955 Valmont Rd Ste 110, Boulder, Colorado |
| Authorized Official Name and Position | David Sullivan (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7204927254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Sullivan Therapy Llc 2955 Valmont Rd Ste 110 Boulder CO 80301-1360 Ph: (720) 492-7254 | David Sullivan Therapy Llc 2955 Valmont Rd Ste 110 Boulder CO 80301-1360 Ph: (720) 492-7254 |
| NPI Number | 1487107835 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 12/02/2020 |
| Certification Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487107835 | NPI | - | NPPES |
| 50770080 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9924117 (Colorado) | Primary |
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