Organization
LEXINGTON PSYCHOLOGICAL SERVICES, PLLC
Active
Other names
Glenn R. Sullivan, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN R. SULLIVAN PH.D. (CLINICAL PSYCHOLOGIST)
(540) 463-2080
Entity
Organization
Contact information
Practice address
30 CROSSING LN STE 101, LEXINGTON, VA 24450
(540) 463-2080
(540) 464-7648
Mailing address
106 COLSTON PL, LEXINGTON, VA 24450-1812
(540) 463-2080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003867
VA
Other
Enumeration date
03/19/2018
Last updated
05/17/2018
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