MISTY SULLIVAN

LOUISVILLE, KY
NPI1235476763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KY  166372)
Enumeration Date2013-01-03
Last Update Date2017-01-30
Business Address
-- MISTY SULLIVAN M.Ed
1512 BAXTER AVE
LOUISVILLE, KY 40205-1009
Phone number: 502-262-2887
Mailing Address
-- MISTY SULLIVAN M.Ed
8206 HIGHVIEW CT
CRESTWOOD, KY 40014-8105
Phone number: 502-794-2965
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