Sullivan, Richard

Sullivan, Richard is an individual health care provider with primary practice located at 7920 Old Cedar Ave S , Bloomington MN 55425-1207. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sullivan, Richard can be contacted via phone (952) 851-1000.

Contact Information

Primary practice address
7920 Old Cedar Ave S Bloomington MN 55425-1207
Phone: (952) 851-1000
Fax: (952) 851-1092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4326 Minnesota

Profile Details

NPI number 1912932468
LBN Legal business name Sullivan, Richard
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 11th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912932468 NPPES
Minnesota MEDICAID 459093700

Popular Providers