BRIAN P SULLIVAN

Dr BRIAN P SULLIVAN is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1982.

Contact

5170 HWY 105 S
SUITE 1
BANNER ELK
NC
28604

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BRIAN P SULLIVAN Information

Npi 1174537120
Pac Id 7315123320
Professional Enrollment Id I20110509000461
Last Name SULLIVAN
First Name BRIAN
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1982
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 5170 HWY 105 S
Line 2 Street Address SUITE 1
Marker Of Address Line 2 Suppression
City BANNER ELK
State NC
Zip Code 28604
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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