Individual
ROBIN RACHELLE OSULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1120 W UNIVERSITY AVE, FLAGSTAFF, AZ 86001-2851
(928) 212-5761
Mailing address
1509 W LIL BEN TRL, FLAGSTAFF, AZ 86005-7018
(808) 286-8224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005883
AZ
103TC0700X
Clinical Psychologist
0810005942
VA
Other
Enumeration date
03/05/2018
Last updated
07/01/2025
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