Individual
DR. QUINN E SULLIVAN
Active
Individual
DR. QUINN E SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
5493
MN
103TC0700X
Clinical Psychologist
Primary
5493
MN
103TC2200X
Clinical Child & Adolescent Psychologist
5493
MN
103TF0000X
Family Psychologist
5493
MN
103TH0004X
Health Psychologist
5493
MN
103TP2701X
Group Psychotherapy Psychologist
5493
MN
Other
Enumeration date
01/08/2007
Last updated
06/04/2012
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