Individual
DR. LAKEASHA GARNER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
304 W 115TH ST, 2A, NEW YORK, NY 10026-2350
(212) 222-1754
Mailing address
304 W 115TH ST, 2A, NEW YORK, NY 10026-2350
(212) 222-1754
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
017515
NY
103TC0700X
Clinical Psychologist
Primary
PS-T001046
GA
Other
Enumeration date
01/22/2008
Last updated
03/19/2019
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