Cynthia Luck Sullivan PH.D.

NPI 1801903000 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1801903000
Gender Female
Enumeration Date 08/24/2006
Last Updated 02/12/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3020 HAMAKER CT STE 103
FAIRFAX VA, 22031-2220, US
Phone (703) 876-0966
Fax
Business Location
3338 CONQUISTADOR CT
ANNANDALE VA, 22003-1116, US
Phone (703) 851-7109
Fax (202) 745-2235
Toxanomy
Taxonomy Code 103G00000X
License State Virginia
License Number 0810002968
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According to our database, Dr. Cynthia Luck Sullivan PH.D. NPI is 1801903000, taxonomy code is 103G00000X and license number is 0810002968, license state is located at Virginia. Cynthia Luck Sullivan PH.D. physically located at 3020 Hamaker Ct Ste 103, Fairfax VA, 22031-2220. NPI Number Cynthia Luck Sullivan PH.D. has the Individual type.

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1801903000 NPI number is provided on an as is basis without warranty of any kind. 1801903000 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Luck Sullivan PH.D. are for informational purposes only.