Individual
DR. MARK SCOTT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6360 JACKSON RD, SUITE M, ANN ARBOR, MI 48103-9597
(734) 930-0031
(734) 930-0083
Mailing address
6360 JACKSON RD, SUITE M, ANN ARBOR, MI 48103-9597
(734) 930-0031
(734) 930-0083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006105
MI
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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