Individual
MR. BRENDAN G. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1251 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5154
(603) 356-7294
Mailing address
PO BOX 824, NORTH CONWAY, NH 03860-0824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1217
NH
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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