NPI 1083712228

Mary Sullivan, LP

Practitioner Clinical Neuropsychologist Saint Paul, MN

Practice location

Address: 2550 University Ave W Suite 310n, Saint Paul, MN 55114-1052
Phone: (651) 379-5157
Mailing address: 1008 31st Ave N, Minneapolis, MN 55411-1329

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence LP3263 (MN)

Other Clinical Neuropsychologist providers in Minnesota →

Registry record

NPI: 1083712228
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2006
Record last updated: 8 Jul 2007

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.