Doctor Name: | MS. ERIN SULLIVAN |
NPI Number: | 1053660647 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 5358 |
Business Practice Address: | 49 Walpole Street Suite 5 Norwood, MA - 02062 |
Business Phone Number: | 7817623750 |
Business Fax Number: | |
Mailing Address: | 200 Falls Boulevard, Unit G105 QUINCY |
State: | MA |
Postal Code: | 021698163 |
Phone Number: | 6177868915 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |