Individual
MELISSA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7982 NEW LAGRANGE ROAD, SUITE 3, LOUISVILLE, KY 40222
(502) 657-4551
(502) 919-9001
Mailing address
7982 NEW LAGRANGE ROAD, SUITE 3, LOUISVILLE, KY 40222
(502) 657-4551
(502) 919-9001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52413
KY
Other
Enumeration date
04/06/2015
Last updated
07/14/2021
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