| Timothy S. Sullivan, Ph.d,, Llc | |
|
3869 Darrow Rd Suite 104 Stow OH 44224-2691 | |
| (713) 820-4208 | |
| Not Available |
| Full Name | Timothy S. Sullivan, Ph.d,, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3869 Darrow Rd, Stow, Ohio |
| Authorized Official Name and Position | Timothy S Sullivan (PHYSICIAN) |
| Authorized Official Contact | 7138204208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy S. Sullivan, Ph.d,, Llc 3869 Darrow Rd Suite 104 Stow OH 44224-2691 Ph: (713) 820-4208 | Timothy S. Sullivan, Ph.d,, Llc 3869 Darrow Rd Suite 104 Stow OH 44224-2691 Ph: (713) 820-4208 |
| NPI Number | 1730574237 |
|---|---|
| Provider Enumeration Date | 04/01/2015 |
| Last Update Date | 04/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730574237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 5645 (Ohio) | Primary |
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