CORY R SULLINS

CRESCENT CITY, CA
NPI1275203440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  32846)
Enumeration Date2021-09-17
Last Update Date2021-09-17
Business Address
CORY R SULLINS PhD
1305 NORTHCREST DR STE 2
CRESCENT CITY, CA 95531-2322
Phone number: 310-901-1996
Mailing Address
CORY R SULLINS PhD
3319 ALAMEDA ST
MEDFORD, OR 97504-9635
Phone number: 310-901-1996