Organization
SULLIVAN, NOLAN & ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA RASK PH.D. (PRESIDENT)
(734) 426-0032
Entity
Organization
Contact information
Practice address
3700 W LIBERTY RD, ANN ARBOR, MI 48103-9056
(734) 426-0032
(734) 426-0034
Mailing address
3700 W LIBERTY RD, ANN ARBOR, MI 48103-9056
(734) 426-0032
(734) 426-0034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006105
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620H176440
BLUE CROSS
MI
Enumeration date
01/28/2007
Last updated
04/02/2021
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