Individual provider · Type 1 NPI

Bryce Frederick Sullivan, PhD

Clinical Psychologist · Edwardsville, IL

NPI number 1093886236 Active

Practice location

910 N Main St
Edwardsville, IL 62025-1116

Mailing address

516 N Kansas St
Edwardsville, IL 62025-1137

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X2000159809 (MO)
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1093886236

Bryce Frederick Sullivan, PhD's National Provider Identifier is 1093886236, issued on Nov 10, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 8, 2007.