Mark Scott Sullivan PHD

NPI 1437205747 - Psychologist - 103T00000X

NPI Details
NPI 1437205747
Gender Male
Enumeration Date 01/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6360 JACKSON RD
SUITE M
ANN ARBOR MI, 48103-9597, US
Phone (734) 930-0031
Fax (734) 930-0083
Business Location
6360 JACKSON RD
SUITE M
ANN ARBOR MI, 48103-9597, US
Phone (734) 930-0031
Fax (734) 930-0083
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301006105
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According to our database, Dr. Mark Scott Sullivan PHD NPI is 1437205747, taxonomy code is 103T00000X and license number is 6301006105, license state is located at Michigan. Mark Scott Sullivan PHD physically located at 6360 Jackson Rd, Ann Arbor MI, 48103-9597. NPI Number Mark Scott Sullivan PHD has the Individual type.

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1437205747 NPI number is provided on an as is basis without warranty of any kind. 1437205747 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Scott Sullivan PHD are for informational purposes only.