# DR. BARBARA-JEAN B SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538294160
- **Gender:** F
- **Credential:** PH.D., NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 6301006224 | MI | — |
| 363L00000X | Nurse Practitioner | 4704137985 | MI | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 03/13/2009