Individual
DR. ROBYN HACKFORD O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3907 45TH ST, SUNNYSIDE, NY 11104-2103
(718) 476-0611
Mailing address
3907 45TH ST, SUNNYSIDE, NY 11104-2103
(718) 476-0611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018679
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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