Mary Sullivan, LP
NPI #1083712228 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1083712228
- Entity Type
- Individual
- Name
- Mary Sullivan, LP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Clinical Neuropsychologist
- Credential
- LP
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2550 UNIVERSITY AVE W
- Address 2
- SUITE 310N
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55114-1052
- Phone
- (651) 379-5157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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