Individual
DR. ANNE K. SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1769 JAMESTOWN RD, SUITE R, WILLIAMSBURG, VA 23185-2307
(757) 564-7002
(757) 229-4343
Mailing address
1769 JAMESTOWN RD, SUITE R, WILLIAMSBURG, VA 23185-2307
(757) 564-7002
(757) 229-4343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001763
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242538
ANTHEM
VA
Enumeration date
06/16/2006
Last updated
07/17/2013
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