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Dr. Bryce Frederick Sullivan, PHD
Clinical Psychologist in Edwardsville, Illinois
NPI 1093886236

Bryce Frederick Sullivan is a Clinical Psychologist based in Edwardsville, IL and is specialized in Clinical. Bryce Frederick Sullivan practices in Edwardsville, IL and has the professional credentials of PHD. The NPI Number for Bryce Frederick Sullivan is 1093886236 and holds a License No. 2000159809 (Illinois).

The current practice location address for Bryce Frederick Sullivan is 910 N Main St, Edwardsville, IL and can be reached out via phone at 618-659-8787.

Location: 910 N Main St, Edwardsville, IL, 62025-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093886236
Provider Name
Bryce Frederick Sullivan
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
910 N Main St, Edwardsville, IL, 62025-1137
Phone Number
618-659-8787
Fax Number
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
691275 01 HEALTHLINK HMO & PPO
06032019 01 IL BCBS PPO
institution
Provider Business Practice Location Address Details
Address
910 N Main St
City
Edwardsville
State
Illinois
Zip
62025-1116
Phone Number
618-659-8787
Fax Number
person
Provider Business Mailing Address Details
Address
910 N Main St
City
Edwardsville
State
Illinois
Zip
62025-1116
Phone Number
618-659-8787
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
2000159809 (Missouri)
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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