Organization
SULLIVAN & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD SULLIVAN PHD (OWNER)
(877) 306-3748
Entity
Organization
Contact information
Practice address
3225 W SUGAR CREEK RD, CHARLOTTE, NC 28269-7314
(704) 813-4033
Mailing address
3225 W SUGAR CREEK RD, CHARLOTTE, NC 28269-7314
(704) 813-4033
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NC
103TA0700X
Adult Development & Aging Psychologist
—
NC
103TC1900X
Counseling Psychologist
Primary
—
NC
103TC2200X
Clinical Child & Adolescent Psychologist
—
NC
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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