Individual
TIMOTHY SHAWN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
701 WHITE POND DR, SUITE 300, AKRON, OH 44320
(330) 572-1011
(330) 572-1018
Mailing address
701 WHITE POND DR, SUITE 300, AKRON, OH 44320
(330) 572-1011
(330) 572-1018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5645
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2253350
—
OH
Enumeration date
12/21/2006
Last updated
08/14/2013
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