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Daniel J. Sullivan, PsyD, LLC

Details

Name: Daniel J. Sullivan, PsyD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Oct 2018 (6 years ago)
Entity Number: 000-532-160
Register Number: 000532160
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1903 OXMOOR ROADBIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720644214 2019-05-10 2022-11-28 4 OFFICE PARK CIR STE 214A, MOUNTAIN BRK, AL, 352232572, US 4 OFFICE PARK CIR STE 214A, MOUNTAIN BRK, AL, 352232572, US

Contacts

Phone +1 205-335-0691
Fax 2059418074

Authorized person

Name DR. DANIEL JOSEPH SULLIVAN
Role PRESIDENT
Phone 2053350691

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role
SULLIVAN, DANIEL J Agent

Organizer

Name Role Address
PHILIPS, SIDNEY T Organizer 1927 FIRST AVE. NORTH, SUITE 101BIRMINGHAM, AL 35203

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State