| Glinda Sullivan, Psyd | |
|
1400 State Road F Suite 101 Waynesville MO 65583 | |
| (573) 528-7569 | |
| (573) 774-4009 |
| Full Name | Glinda Sullivan, Psyd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1400 State Road F, Waynesville, Missouri |
| Authorized Official Name and Position | Glinda Mae Sullivan (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5735287569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glinda Sullivan, Psyd 1400 State Road F Suite 101 Waynesville MO 65583 Ph: (573) 528-7569 | Glinda Sullivan, Psyd 1400 State Road F Suite 101 Waynesville MO 65583 Ph: (573) 528-7569 |
| NPI Number | 1679766307 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679766307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2004024741 (Missouri) | Primary |
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