Laura Sullivan
Psychologist, Clinical in Butner, NC. Individual provider (NPI-1).
NPI number1902994841
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1902994841
- Entity type
- Individual (NPI-1)
- Name
- Laura Sullivan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2559 | NC | Yes |
Practice location
Adult Admissions UnitJohn Umstead Hospital
Butner, NC 27509
Phone 919-575-2446
Mailing address
308a McGregor DriveChapel Hill, NC 27514
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