Individual provider · Type 1 NPI

Misty Sullivan, M.ED

Clinical Psychologist · Louisville, KY

NPI number 1235476763 Active

Practice location

1512 Baxter Ave
Louisville, KY 40205-1009

Mailing address

8206 Highview Ct
Crestwood, KY 40014-8105

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X166372 (KY)

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 1235476763

Misty Sullivan, M.ED's National Provider Identifier is 1235476763, issued on Jan 3, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Louisville, KY. The record was last updated on Jan 30, 2017.