Organization
BERNARD J SULLIVAN PHD LLC
Active
Organization
BERNARD J SULLIVAN PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD JOHN SULLIVAN PH.D. (MEMBER)
(913) 451-2843
Entity
Organization
Contact information
Practice address
10540 MARTY ST STE 155, OVERLAND PARK, KS 66212-2654
(913) 451-2843
(913) 383-1088
Mailing address
10540 MARTY ST STE 155, OVERLAND PARK, KS 66212-2654
(913) 451-2843
(913) 383-1088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP-0436
KS
Other
Enumeration date
03/20/2007
Last updated
12/29/2010
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