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Contact Information

TIMOTHY S SULLIVAN, PhD
701 WHITE POND DR
SUITE 300
AKRON, OH44320
 Phone: 330-572-1011
 Fax: 330-572-1018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIMOTHY S SULLIVAN · (Male)

NPI Number 1336203397
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/21/2006
Last updated 08/14/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 5645
  • OH Medicaid 2253350
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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