| Doctor Name: | CAITLIN SULLIVAN |
| NPI Number: | 1336514314 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 51 Smoke Rise Cir Prospect, CT - 067121047 |
| Business Phone Number: | 2036955762 |
| Business Fax Number: | |
| Mailing Address: | 51 Smoke Rise Cir, PROSPECT |
| State: | CT |
| Postal Code: | 067121047 |
| Phone Number: | 2036955762 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2015 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |