Sullivan, Mary

Sullivan, Mary is an individual health care provider with primary practice located at 2550 University Ave W Suite 310N, Saint Paul MN 55114-1052. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Sullivan, Mary can be contacted via phone (651) 379-5157.

Contact Information

Primary practice address
2550 University Ave W Suite 310N Saint Paul MN 55114-1052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP3263 Minnesota

Profile Details

NPI number 1083712228
LBN Legal business name Sullivan, Mary
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 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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