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Contact Information

JOHN P SULLIVAN JR, PSY.D.
8 BRADFORD AVE
NEWPORT, RI02840-2202
 Phone: 401-258-6754
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN P SULLIVAN JR · (Male)

NPI Number 1225368145
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 12/29/2009
Last updated 12/29/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # PS00871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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