Sullivan, Elizabeth

Sullivan, Elizabeth is an individual health care provider with primary practice located at 30 Federal St Suite B, Salem MA 01970-3869. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sullivan, Elizabeth can be contacted via phone (617) 967-0707.

Contact Information

Primary practice address
30 Federal St Suite B Salem MA 01970-3869
Phone: (617) 967-0707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3453 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 922 Massachusetts

Profile Details

NPI number 1255394359
LBN Legal business name Sullivan, Elizabeth
Credentials PSY.D., LMHC, LMET
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255394359 NPPES
Massachusetts Other 14956 HARVARD PILGRIM HEALTHCAR
Massachusetts Other LM0037 HARVARD PILGRIM HEALTHCAR
Massachusetts Other 458376 HARVARD PILGRIM HEALTHCAR

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