Individual provider · Type 1 NPI

Cynthia Luck Sullivan, PhD

Clinical Neuropsychologist · Fairfax, VA

NPI number 1801903000 Active

Practice location

3020 Hamaker Ct Ste 103
Fairfax, VA 22031-2220

Call (703) 876-0966 Map

Mailing address

3338 Conquistador Ct
Annandale, VA 22003-1116

Specialties and licenses

Taxonomy	Code	License
Clinical Neuropsychologist Primary	103G00000X	0810002968 (VA)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1801903000

Cynthia Luck Sullivan, PhD's National Provider Identifier is 1801903000, issued on Aug 24, 2006. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Fairfax, VA. The record was last updated on Feb 12, 2008.