DR. LAURA JEAN SULLIVAN PSY.D. NPI 1184861882

NPI Information

NPI: 1184861882
Provider Name: DR. LAURA JEAN SULLIVAN, PSY.D.
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
100 PRISON RD
REPRESA, CA
ZIP 95671
Phone: (916) 985-8610
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DR. Laura Jean Sullivan, PSY.D. is a forensic psychologist in Represa, CA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Laura Jean Sullivan, PSY.D. NPI is 1184861882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 PRISON RD
REPRESA, CA
ZIP 95671-000
Phone: (916) 985-8610

The enumeration date for this NPI number is 1/16/2009 and was last updated on 1/16/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TF0200X	Psychologist	Forensic	PSY 22206	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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