Individual
DR. KIMBERLY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
2727 E SHANNON ST, GILBERT, AZ 85295-5190
(480) 686-4507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-004332
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/16/2011
Last updated
07/24/2020
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