Individual
ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7508 NEW LAGRANGE RD, SUITE 5, LOUISVILLE, KY 40222
(502) 709-9427
Mailing address
7508 NEW LAGRANGE RD, SUITE 5, LOUISVILLE, KY 40222
(502) 709-9427
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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