RITA DE-HAAN SULLIVAN

MEDFORD, OR
NPI1417034794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  965)
Enumeration Date2006-11-01
Last Update Date2017-05-11
Business Address
-- RITA DE-HAAN SULLIVAN Ph.D
201 W MAIN ST SUITE 1B
MEDFORD, OR 97501-2744
Phone number: 541-944-5711
Mailing Address
-- RITA DE-HAAN SULLIVAN Ph.D
PO BOX 4152
MEDFORD, OR 97501-0154
Phone number: 541-944-5711