JEREMY RAY SULLIVAN

BENNINGTON, VT
NPI1043441306
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VT  04800000878)
Enumeration Date2009-08-05
Last Update Date2009-08-05
Business Address
Dr. JEREMY RAY SULLIVAN PSY.D
655 MAIN ST
BENNINGTON, VT 05201-2870
Phone number: 413-347-6679
Mailing Address
Dr. JEREMY RAY SULLIVAN PSY.D
342 LESURE RD
STAMFORD, VT 05352-9569
Phone number: 802-694-1994
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