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Organization

SULLIVAN & ASSOCIATES

Active
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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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