Individual
DR. JEREMY RAY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
77 HOSPITAL AVE STE 214, NORTH ADAMS, MA 01247-2538
(413) 398-5064
(413) 398-5496
Mailing address
59 MAPLE ST, NORTH ADAMS, MA 01247-2828
(413) 347-6679
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04800000878
VT
Other
Enumeration date
08/05/2009
Last updated
05/05/2025
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