Individual
BRIAN CHRISTOPHER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
3611 N SAGINAW RD, MIDLAND, MI 48640-2384
(989) 633-3238
Mailing address
3302 GREENWAY DR, MIDLAND, MI 48642-4088
(989) 839-5158
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012225
MI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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