Laura Jean Sullivan, PSY.D. Valid NPI
Individual provider · Forensic Psychologist · Represa, CA
- NPI
- 1184861882
- Type
- Individual (Type 1)
- Primary specialty
- Forensic Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TF0200X
- License number
- PSY 22206 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-01-16
- Last updated
- 2009-01-16
Practice location
100 Prison Rd
Represa, CA 95671-3000
(916) 985-8610