Individual
JAMES H SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
700 PROSPECT ST, SUITE 101, PORT ORCHARD, WA 98366-5399
(360) 876-2322
(360) 874-0477
Mailing address
700 PROSPECT ST, SUITE 101, PORT ORCHARD, WA 98366-5399
(360) 876-2322
(360) 874-0477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000906
WA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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