DR. Bryce Frederick Sullivan, PH.D.
NPI #1093886236 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1093886236
- Entity Type
- Individual
- Name
- DR. Bryce Frederick Sullivan, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 910 N MAIN ST
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-1116
- Phone
- (618) 659-8787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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