Individual
KRISTEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 S WELLS RD STE 200, VENTURA, CA 93004-1377
(805) 659-1740
Mailing address
200 S WELLS RD STE 200, VENTURA, CA 93004-1377
(805) 659-1740
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY25840
CA
Other
Enumeration date
08/28/2012
Last updated
11/07/2013
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