Organization
TIMOTHY S. SULLIVAN, PH.D,, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY S SULLIVAN PH.D (PHYSICIAN)
(713) 820-4208
Entity
Organization
Contact information
Practice address
3869 DARROW RD, SUITE 104, STOW, OH 44224-2691
(713) 820-4208
Mailing address
3869 DARROW RD, SUITE 104, STOW, OH 44224-2691
(713) 820-4208
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5645
OH
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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