Individual
DR. MARY P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
79-1020 HAUKAPILA ST, KEALAKEKUA, HI 96750-7922
(808) 936-6746
Mailing address
79-1020 HAUKAPILA ST, KEALAKEKUA, HI 96750-7922
(808) 936-6746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1190
HI
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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