Sullivan, Virginia Mary

Sullivan, Virginia Mary is an individual health care provider with primary practice located at 2055 Kellogg Ave , Corona CA 92879-3111. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Sullivan, Virginia Mary can be contacted via phone (951) 898-7171.

Contact Information

Primary practice address
2055 Kellogg Ave Corona CA 92879-3111
Phone: (951) 898-7171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 17121 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 12546 California

Profile Details

NPI number 1235335803
LBN Legal business name Sullivan, Virginia Mary
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Dec 2nd, 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.

Request for update

Popular Providers