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TIMOTHY SHAWN SULLIVAN PH.D.

Clinical Neuropsychologist

Akron, Ohio

Provider NPI: 1336203397

Provider Information:
 TIMOTHY SHAWN SULLIVAN PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
701 WHITE POND DR SUITE 300 AKRON, OH 44320 US
Tel: 330-572-1011  Fax: 330-572-1018

Business Mailing Address:
701 WHITE POND DR SUITE 300 AKRON, OH 44320 US
Tel: 330-572-1011  Fax: 330-572-1018

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
OH5645

Other Provider Identifiers:

IssuerNumberStateType
2253350OH05
Code values:
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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