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Contact Information

JOHN M SULLIVAN, PhD
ONE OLD OYSTER POINT ROAD
NEWPORT NEWS, VA23602
 Phone: 757-969-6848
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN M SULLIVAN · (Male)

NPI # 1538576764
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/21/2014
Last updated 07/21/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0810004303
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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