Individual
SUMMER LEIGH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
19022 NE 29TH AVE, AVENTURA, FL 33180-2823
(305) 936-1002
Mailing address
20191 E COUNTRY CLUB DR APT 1602, AVENTURA, FL 33180-3019
(305) 505-2742
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 7923
FL
Other
Enumeration date
06/04/2007
Last updated
05/29/2009
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