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Contact Information

JILLIAN E SULLIVAN, PH.D., HSPP
3000 S STATE ROAD 135
SUITE 230
GREENWOOD, IN46143-9607
 Phone: 317-535-0728
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JILLIAN E SULLIVAN · (Female)

NPI # 1114357506
Status Active
Credentials PH.D., HSPP
Entity Individual
Enumeration date 11/20/2013
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 20042704A
  • IN Other 000000850729 ANTHEM BCBS
  • IN Other P01569147 RAILROAD PTAN
  • IN Other P01569147 RR MEDICARE
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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