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Individual

DR. WILLIAM EDWARD SULLIVAN

Active
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Individual

DR. WILLIAM EDWARD SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P08881
NY
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
—

Other

Enumeration date
06/20/2018
Last updated
06/20/2018
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