Kelli Sullivan

NPI 1609911148 · on the registry since 2007

Practice

Address: 5430 W Glenn Dr
Glendale, AZ 85301
Phone: (623) 915-0345
Fax: (623) 937-5425
Organisation at this address: Center For Neurodevelopmental Studies
The Childrens Center For Neurodevelopmental Studies
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona