Individual
ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
670R MASSACHUSETTS AVE, ARLINGTON, MA 02476-5003
(781) 316-3255
Mailing address
2 OLD COLONY LN APT 4, ARLINGTON, MA 02476-4424
(617) 816-2992
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NA
MA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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