Sullivan, Nicole

Sullivan, Nicole is an individual health care provider with primary practice located at 385 Tremont Ave , East Orange NJ 07018-1023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sullivan, Nicole can be contacted via phone (973) 676-1000.

Contact Information

Primary practice address
385 Tremont Ave East Orange NJ 07018-1023
Phone: (973) 676-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 023037 New York
Behavioral Health & Social Service Providers / Health 103TH0004X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00624500 New Jersey

Profile Details

NPI number 1992366918
LBN Legal business name Sullivan, Nicole
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2019
Last updated Dec 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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