Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY MICHAEL SULLIVAN, PSYD
ActiveANTHONY MICHAEL SULLIVAN, PSYD is a Clinical Psychologist healthcare provider located in CANON CITY, Colorado. NPI 1245362615 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CANON CITY, CO
Registration Details
- NPI Number
- 1245362615
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2007 (19.445568339384 yrs)
- Last Updated
- Jul 29, 2020
- Licenses
-
2778 (CO)3490 (CO)
Practice Information
- Address
-
3225 INDEPENDENCE RDCANON CITY, CO, 812129380Browse CO providers · Browse ZIP 81212
- Phone
- 7192752351
- Fax
- 7192699386
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Psychologist
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.