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Organization

SULLIVAN & ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARD SULLIVAN JR. PHD (PSYCHOLOGIST/OWNER)
(704) 813-4033
Entity
Organization

Contact information

Practice address
3225 W SUGAR CREEK RD, CHARLOTTE, NC 28269-7314
(704) 813-4033
(888) 251-0617
Mailing address
3225 W SUGAR CREEK RD, CHARLOTTE, NC 28269-7314

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
102806
NC
103TB0200X
Cognitive & Behavioral Psychologist
102806
NC
103TC1900X
Counseling Psychologist
Primary
102806
NC

Other

Enumeration date
10/05/2012
Last updated
10/05/2012
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