Sullivan, Timothy Shawn

Sullivan, Timothy Shawn is an individual health care provider with primary practice located at 701 White Pond Dr Suite 300, Akron OH 44320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sullivan, Timothy Shawn can be contacted via phone (330) 572-1011.

Contact Information

Primary practice address
701 White Pond Dr Suite 300 Akron OH 44320
Fax: (330) 572-1018
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5645 Ohio

Profile Details

NPI number 1336203397
LBN Legal business name Sullivan, Timothy Shawn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 14th, 2013 - about 13 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 1336203397 NPPES
Ohio MEDICAID 2253350

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