Individual provider · Type 1 NPI

Lisa Sullivan, PHD.

Psychologist · Bend, OR

NPI number 1619639473 Active

Practice location

18625 Macalpine Loop
Bend, OR 97702-9366

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X17800 (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 1619639473

Lisa Sullivan, PHD.'s National Provider Identifier is 1619639473, issued on Oct 8, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Bend, OR. The record was last updated on Oct 8, 2021.