Individual
JACQUELINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
344 MARY ST, DOWNINGTOWN, PA 19335-2518
(610) 883-7884
Mailing address
344 MARY ST, DOWNINGTOWN, PA 19335-2518
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
BH000449
PA
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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