SULLIVAN PSYCHIATRIC GROUP PLLC NPI 1366879025

NPI Information

SULLIVAN PSYCHIATRIC GROUP, PLLC is a child and adolescent psychiatry psychiatry neurology in Louisville, KY. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SULLIVAN PSYCHIATRIC GROUP, PLLC NPI is 1366879025. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4011 GARDINER POINT DR STE 101
LOUISVILLE, KY
ZIP 40213-988
Phone: (502) 451-5121
Fax: (502) 451-5125

The provider's authorized official is John Paul Sullivan .
The authorized official title is Owner and has the following contact phone number (502) 451-5121.

The enumeration date for this NPI number is 9/26/2013 and was last updated on 1/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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