SearchNew York1041C0700X

Laura Sullivan, LCSW, CASAC

NPI 1881066785 · on the registry since 2015 · sole proprietor

Practice

Address
305 E Falls St # 1
Ithaca, NY 14850
Phone
(607) 342-3451

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-09

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 New York