Organization
GLINDA SULLIVAN, PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLINDA MAE SULLIVAN PSYD (CLINICAL PSYCHOLOGIST)
(573) 528-7569
Entity
Organization
Contact information
Practice address
1400 STATE ROAD F, SUITE 101, WAYNESVILLE, MO 65583
(573) 528-7569
(573) 774-4009
Mailing address
1400 STATE ROAD F, SUITE 101, WAYNESVILLE, MO 65583
(573) 528-7569
(573) 774-4009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2004024741
MO
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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