Individual
DR. NICOLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
023037
NY
103TC0700X
Clinical Psychologist
Primary
35SI00624500
NJ
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
06/21/2019
Last updated
12/28/2021
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