Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIBROOKE JEANANNE SULLIVAN
Active Sole ProprietorMARIBROOKE JEANANNE SULLIVAN is a Developmental Therapist healthcare provider located in UPTON, Kentucky. NPI 1578272225 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · UPTON, KY
Registration Details
- NPI Number
- 1578272225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 22, 2022 (3.7697388738429 yrs)
- Last Updated
- Mar 6, 2024
- License
-
920625518 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
896 GAULT TERRY RDUPTON, KY, 427849204Browse KY providers · Browse ZIP 42784
- Phone
- 2705375600
- Primary Specialty
-
Developmental Therapist
222Q00000X
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.