Timothy Sullivan's National Provider Identifier (NPI) Details
Timothy Sullivan, LICSW
NPI: 1992827026
Enumeration Date: 2007-04-06
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: PO BOX 490323, EVERETT, MA
Phone:
Primary Practice Address: 6 PLEASANT ST, 6TH FLOOR, MALDEN, MA
Practice's phone: 781-871-6550