Individual
DR. CATHERINE MARY O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
75 N MAPLE AVE, SUITE 101B, RIDGEWOOD, NJ 07450-3247
(845) 416-7839
Mailing address
PO BOX 4, BLAUVELT, NY 10913-0004
(845) 416-7839
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
021138
NY
103G00000X
Clinical Neuropsychologist
35SI00550000
NJ
103T00000X
Psychologist
021138
NY
103T00000X
Psychologist
Primary
35SI00550000
NJ
103TB0200X
Cognitive & Behavioral Psychologist
021138
NY
103TB0200X
Cognitive & Behavioral Psychologist
35SI00550000
NJ
Other
Enumeration date
08/19/2013
Last updated
04/05/2016
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