Individual
DR. RYAN CHARLES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
265 US HIGHWAY 46, SUITE 202, TOTOWA, NJ 07512-1820
(973) 256-2818
Mailing address
265 US HIGHWAY 46, SUITE 202, TOTOWA, NJ 07512-1820
(973) 256-2818
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100485600
NJ
Other
Enumeration date
06/02/2011
Last updated
04/09/2018
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