DR. Sandra Judd Sullivan, PSYD

NPI #1073851663 in San Mateo, California

Provider Information

NPI Number: 1073851663
Entity Type: Individual
Name: DR. Sandra Judd Sullivan, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Jan 16, 2013
Last Updated: Jan 16, 2013

Practice Location

Address: 155 BOVET RD
Address 2: SUITE 404
City: San Mateo
State: California
ZIP Code: 94402-3108
Phone: (650) 762-6752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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