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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CYNTHIA LUCK SULLIVAN, PH.D.

Active Sole Proprietor

DR. CYNTHIA LUCK SULLIVAN, PH.D. is a Clinical Neuropsychologist healthcare provider located in FAIRFAX, Virginia. NPI 1801903000 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · FAIRFAX, VA

Registration Details

NPI Number
1801903000
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2006 (19.931265506195 yrs)
Last Updated
Feb 12, 2008
License
0810002968 (VA)
Sole Proprietor
Yes

Practice Information

Address
3020 HAMAKER CT STE 103
FAIRFAX, VA, 220312220
Browse VA providers · Browse ZIP 22031
Phone
7038760966
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in FAIRFAX, VA

Name Credential NPI
DR. JEFFREY ADAM WILKEN PH.D. 1932216280
DR. JOHN W. WIRES PH.D. 1316002751
DR. MARY ELIZABETH QUIG PH.D. 1467668350
DR. BARRY B. EKDOM PH.D. 1457532756
TIMOTHY FRATTO PH.D. 1962734194
MELISSA NICOLE WOMBLE PHD 1548715154
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.