Individual
MAE COLLEEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3 TALBOTT AVE STE 100, TIMONIUM, MD 21093-2329
(410) 205-4928
Mailing address
2809 HAMPDEN AVE, BALTIMORE, MD 21211-2920
(301) 520-1556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
A01065
MD
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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