Individual provider · Type 1 NPI

Kelly Marie Sullivan, PhD

Psychologist · Durham, NC

NPI number 1639224025 Active

Practice location

1121 W Chapel Hill St Ste 100
Durham, NC 27701-3080

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X3498 (NC)

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 1639224025

Kelly Marie Sullivan, PhD's National Provider Identifier is 1639224025, issued on Jan 24, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Durham, NC. The record was last updated on Jul 15, 2025.