Sullivan, Thomas E.

Sullivan, Thomas E. is an individual health care provider with primary practice located at 2810 Mack Rd , Fairfield OH 45014-5130. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Sullivan, Thomas E. can be contacted via phone (513) 874-4530.

Contact Information

Primary practice address
2810 Mack Rd Fairfield OH 45014-5130
Phone: (513) 874-4530
Fax: (513) 346-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 5083 Ohio
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5083 Ohio

Profile Details

NPI number 1316912421
LBN Legal business name Sullivan, Thomas E.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 13th, 2026 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316912421 NPPES
Ohio Other 257968 VALUE OPTIONS PROVIDER ID
Ohio Other 000000066833 VALUE OPTIONS PROVIDER ID
Ohio Other A294802 VALUE OPTIONS PROVIDER ID

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