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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

NPI # 1679766307
LBN Legal business name GLINDA SULLIVAN, PSYD
Authorized official GLINDA SULLIVAN - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2007
Last updated 08/27/2007 - About 19 years ago
Identifiers
MO License # 2004024741
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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