Individual provider · Type 1 NPI

Laura Jean Sullivan, PSY.D.

Forensic Psychologist · Represa, CA

NPI number 1184861882 Active

Practice location

100 Prison Rd
Represa, CA 95671-3000

Mailing address

PO Box 6781
Folsom, CA 95763-6781

Specialties and licenses

TaxonomyCodeLicense
Forensic Psychologist Primary 103TF0200XPSY 22206 (CA)

Forensic Psychologist: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

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About NPI 1184861882

Laura Jean Sullivan, PSY.D.'s National Provider Identifier is 1184861882, issued on Jan 16, 2009. The primary taxonomy on file is Forensic Psychologist (103TF0200X), and the practice location is in Represa, CA. The record was last updated on Jan 16, 2009.