Whalio Doctors

NPI 1174871370

Christopher Sullivan PHD PC

Organisation Clinical Neuropsychologist Indianapolis, IN

Practice location

Address
10293 N Meridian St STE 210, Indianapolis, IN 46290-1079
Phone
(317) 581-2292
Fax
(317) 581-2285

Authorised official

Name
Christopher Sullivan
Title
Owner
Phone
(317) 581-2292

Registered specialties (4)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 20041471A (IN)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20041471A (IN)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20042520A (IN)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20042125A (IN)

Registry record

NPI
1174871370
Entity type
Organization
NPI issued
17 Aug 2012
Record last updated
10 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.