Nancy Rose Sullivan PH.D.

NPI 1083721237 - Psychologist - 103T00000X

NPI Details
NPI 1083721237
Gender Female
Enumeration Date 08/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
300 LONGWOOD AVE
BOSTON MA, 02115-5724, US
Phone (617) 355-4217
Fax
Business Location
44A SAINT PAUL ST
#3
BROOKLINE MA, 02446-6569, US
Phone (617) 697-5798
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Massachusetts
License Number 8219
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According to our database, Nancy Rose Sullivan PH.D. NPI is 1083721237, taxonomy code is 103T00000X and license number is 8219, license state is located at Massachusetts. Nancy Rose Sullivan PH.D. physically located at 300 Longwood Ave, Boston MA, 02115-5724. NPI Number Nancy Rose Sullivan PH.D. has the Individual type.

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1083721237 NPI number is provided on an as is basis without warranty of any kind. 1083721237 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy Rose Sullivan PH.D. are for informational purposes only.