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Organization
THE SULLIVAN CENTER FOR CHILDREN
Active
Organization
THE SULLIVAN CENTER FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELLISSA R GRIFFITH (PSYCHOLOGIST)
(559) 271-1186
Entity
Organization
Contact information
Practice address
3443 WEST SHAW AVENUE, FRESNO, CA 93711
(559) 271-1186
(559) 271-8041
Mailing address
3443 W SHAW AVE, FRESNO, CA 93711-3249
(559) 271-1186
(559) 271-8041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103PC0700X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSB 35913
PRIVATE PAY INSURANCE
CA
Enumeration date
07/06/2011
Last updated
07/06/2011
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