Individual
MAUREEN A. SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
118 N MURRAY HALL, STILLWATER, OK 74078-3064
(405) 269-5631
(405) 744-2826
Mailing address
118 N MURRAY HALL, STILLWATER, OK 74078-3064
(405) 269-5631
(405) 744-2826
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
717
OK
Other
Enumeration date
05/01/2007
Last updated
12/01/2010
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