Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersDR. THOMAS E. SULLIVAN PH.D.
Clinical Neuropsychologist
Fairfield, Ohio
Provider NPI: 1316912421
Provider Information:DR. THOMAS E. SULLIVAN PH.D.
Gender: M
Practice Location:
2810 MACK RD FAIRFIELD, OH 45014 US
Tel: 513-874-4530 Fax: 513-346-3811
Business Mailing Address:
2810 MACK RD FAIRFIELD, OH 45014 US
Tel: 513-874-4530 Fax: 513-346-3811
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | OH | 5083 |
| X | 103T00000X | Behavioral Health & Social Service Providers Psychologist | OH | 5083 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| ANTHEM ID# | 000000066833 | OH | 01 |
| VALUE OPTIONS PROVIDER ID | 257968 | OH | 01 |
| VALUE OPTIONS VIN | A294802 | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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