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Individual

DR. DANIEL JOSEPH SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
4 OFFICE PARK CIR STE 214A, MOUNTAIN BRK, AL 35223-2572
(205) 335-0691
(205) 941-8074
Mailing address
4 OFFICE PARK CIR STE 214A, MOUNTAIN BRK, AL 35223-2572
(205) 335-0691
(205) 941-8074

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
02543
TN
103TC0700X
Clinical Psychologist
Primary
1803
AL

Other

Enumeration date
11/09/2006
Last updated
11/28/2022
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