Organization
CHRISTOPHER SULLIVAN PHD PC
Active
Other names
Neuropsychology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER SULLIVAN PHD (OWNER)
(317) 581-2292
Entity
Organization
Contact information
Practice address
10293 N MERIDIAN ST STE 210, INDIANAPOLIS, IN 46290-1079
(317) 581-2292
(317) 581-2285
Mailing address
10293 N MERIDIAN ST STE 210, INDIANAPOLIS, IN 46290-1079
(317) 581-2292
(317) 581-2285
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20041471A
IN
103TC0700X
Clinical Psychologist
20041471A
IN
103TC0700X
Clinical Psychologist
20042125A
IN
103TC0700X
Clinical Psychologist
20042520A
IN
Other
Enumeration date
08/17/2012
Last updated
11/10/2012
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