NPI 1023050168

Teri Rae Sullivan, PHD

Practitioner Clinical Psychologist Overland Park, KS

Practice location

Address: 7180 W 107th St Suite 20, Overland Park, KS 66212-2523
Phone: (913) 341-5700
Fax: (913) 341-5750

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence KS0442 (KS)

Other Psychologist providers in Kansas →

Registry record

NPI: 1023050168
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2006
Record last updated: 17 Jan 2008

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.