Individual
LISA WORDEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221
(203) 609-5692
(203) 569-9747
Mailing address
1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221
(203) 609-5692
(203) 569-9747
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
003117
CT
Other
Enumeration date
09/06/2011
Last updated
04/17/2015
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