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Individual

DR. CYNTHIA LUCK SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3020 HAMAKER CT STE 103, FAIRFAX, VA 22031-2220
(703) 876-0966
Mailing address
3338 CONQUISTADOR CT, ANNANDALE, VA 22003-1116
(703) 851-7109
(202) 745-2235

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810002968
VA

Other

Enumeration date
08/24/2006
Last updated
02/12/2008
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