Individual
DR. MICHELLE LEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2305 N PARHAM RD, SUITE 3, RICHMOND, VA 23229-3156
(804) 270-1124
(804) 270-2090
Mailing address
2305 N PARHAM RD, SUITE 3, RICHMOND, VA 23229-3156
(804) 270-1124
(804) 270-2090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004894
VA
Other
Enumeration date
07/08/2005
Last updated
10/31/2014
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