Individual
DR. KELLY MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1121 W CHAPEL HILL ST STE 100, DURHAM, NC 27701-3080
(919) 385-0733
Mailing address
1121 W CHAPEL HILL ST STE 100, DURHAM, NC 27701-3080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3498
NC
Other
Enumeration date
01/24/2007
Last updated
07/15/2025
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