Individual
DR. NANCY ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2555 PARK BLVD, SUITE 20, PALO ALTO, CA 94306-1924
(650) 245-8685
(650) 847-7636
Mailing address
PO BOX 338, MENLO PARK, CA 94026-0338
(650) 245-8685
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY15181
CA
103T00000X
Psychologist
PSY15181
CA
Other
Enumeration date
07/13/2006
Last updated
10/05/2009
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