Dr. Sandra Judd Sullivan, PsyD
Psychologist, Clinical in San Mateo, CA. Individual provider (NPI-1).
NPI number1073851663
StatusActive
Last updated in NPPESJan 16, 2013
Details
- NPI
- 1073851663
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sandra Judd Sullivan
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2013
- Last updated
- Jan 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | psy20296 | CA | Yes |
Practice location
155 Bovet RdSuite 404
San Mateo, CA 94402-3108
Phone 650-762-6752
Mailing address
1140 Cambridge RdBurlingame, CA 94010-3305
Phone 650-762-6752
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All 75 Clinical Psychologist providers in San Mateo · All 4,655 providers in San Mateo
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