Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | PS017825 | PA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PS017825 | PA |
Y | 103G00000X | Clinical Psychologist | PS017825 | PA |
Y | 103TC0700X | Clinical Psychologist | PS017825 | PA |
N | 103TP2701X | Group Psychotherapist | PS017825 | PA |
NPI | 1861873424 |
---|---|
Provider Name | Dr. Harmony Sullivan |
First Address | Pittsburgh, PA 15206-1560 |
Second Address | Pittsburgh, PA 15206-1560 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2015 |
Last Update Date | 09/06/2015 |