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DR. 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:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OH5083
X103T00000XBehavioral Health & Social Service Providers
Psychologist
OH5083

Other Provider Identifiers:

IssuerNumberStateType
VALUE OPTIONS VINA294802OH01
ANTHEM ID#000000066833OH01
VALUE OPTIONS PROVIDER ID257968OH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS OH - Page 1

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5 Physical Medicine & Rehabilitation, Adding PM&R physicians with interest in Concussion/Traumatic ... Columbus, OH, USA ... clinical and basic science research in the areas of traumatic brain injury, spinal cord injury ... These faculties are active in neuropsychology and problems of behavior following brain injury, as ...... Apply Now>>



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