DR. Susan Sullivan, PHD

NPI #1235469180 in Cocoa, Florida

Provider Information

NPI Number: 1235469180
Entity Type: Individual
Name: DR. Susan Sullivan, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Dec 28, 2009
Last Updated: Jan 22, 2013

Practice Location

Address: 1970 MICHIGAN AVE
Address 2: BLDG. C-1
City: Cocoa
State: Florida
ZIP Code: 32922-5758
Phone: (321) 209-1871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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