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Contact Information

GLINDA SULLIVAN, PSYD
1400 STATE ROAD F
SUITE 101
WAYNESVILLE, MO65583
 Phone: 573-528-7569
 Fax: 573-774-4009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GLINDA SULLIVAN PSYD · (Female)

NPI Number 1679766307
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2007
Last updated 08/27/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2004024741
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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