Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA WORDEN SULLIVAN, PH.D.
Active Sole ProprietorLISA WORDEN SULLIVAN, PH.D. is a Counseling Psychologist healthcare provider located in STAMFORD, Connecticut. NPI 1750662680 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · STAMFORD, CT
Registration Details
- NPI Number
- 1750662680
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2011 (14.955068364268 yrs)
- Last Updated
- Apr 17, 2015
- License
-
003117 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1177 HIGH RIDGE RDSTAMFORD, CT, 069051221Browse CT providers · Browse ZIP 06905
- Phone
- 2036095692
- Fax
- 2035699747
- Primary Specialty
-
Counseling Psychologist
103TC1900X
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.