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Contact Information

NICOLE SULLIVAN, PHD
385 TREMONT AVE
EAST ORANGE, NJ07018-1023
 Phone: 973-676-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NICOLE SULLIVAN · (Female)

NPI # 1992366918
Status Active
Credentials PHD
Entity Individual
Enumeration date 06/21/2019
Last updated 12/28/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 35SI00624500
  • NY License # 023037
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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