Organization
ANTHONY M SULLIVAN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SULLIVAN PSYD (OWNER)
(719) 275-5185
Entity
Organization
Contact information
Practice address
608 S 9TH ST, CANON CITY, CO 81212-4910
(719) 275-5185
Mailing address
608 S 9TH ST, CANON CITY, CO 81212-4910
(719) 275-5185
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
06/11/2024
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