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Dr. Laura Jean Sullivan, PSYD
Forensic Psychologist in Represa, California
NPI 1184861882

Laura Jean Sullivan is a Forensic Psychologist based in Folsom, CA and is specialized in Forensic. Laura Jean Sullivan practices in Represa, CA and has the professional credentials of PSYD. The NPI Number for Laura Jean Sullivan is 1184861882 and holds a License No. PSY 22206 (California).

The current practice location address for Laura Jean Sullivan is 100 Prison Rd, Represa, CA and can be reached out via phone at 916-985-8610.

Location: 100 Prison Rd, Represa, CA, 95763-6781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184861882
Provider Name
Laura Jean Sullivan
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
100 Prison Rd, Represa, CA, 95763-6781
Phone Number
916-985-8610
Fax Number
Provider Enumeration Date
01/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Prison Rd
City
Represa
State
California
Zip
95671-3000
Phone Number
916-985-8610
Fax Number
person
Provider Business Mailing Address Details
Address
100 Prison Rd
City
Represa
State
California
Zip
95671-3000
Phone Number
916-985-8610
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
PSY 22206 (California)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
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