Individual provider · Type 1 NPI

Virginia Mary Sullivan, PhD

Psychologist · Corona, CA

NPI number 1235335803 Active

Practice location

2055 Kellogg Ave
Corona, CA 92879-3111

Call (951) 898-7171 Map

Mailing address

387 Magnolia Ave Ste 103-406
Corona, CA 92879-3307

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X17121 (CA)
Psychologist Primary 103T00000X12546 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1235335803

Virginia Mary Sullivan, PhD's National Provider Identifier is 1235335803, issued on Jun 21, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Corona, CA. The record was last updated on Dec 2, 2021.