MELBA J SULLIVAN

NEW YORK, NY
NPI1427177484
Former NameMELBA JENINE NICHOLSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: NY  018720)
Additional Taxonomies103T00000X Psychologist
(Licence: CA  PSY 22925)
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: IL  071006957)
Enumeration Date2007-03-28
Last Update Date2019-03-13
Business Address
MELBA J SULLIVAN Ph.D.
330 W 58TH ST STE 208
NEW YORK, NY 10019-1822
Phone number: 347-725-0339
Mailing Address
MELBA J SULLIVAN Ph.D.
936 BROADWAY FL 2
NEW YORK, NY 10010-8104
Phone number: 212-879-4900