Organization
LEXINGTON PSYCHOLOGICAL SERVICES, PLLC
Active
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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