Dr. Kenneth Sullivan
Psychologist Health Service Family Psychologist Clinical Psychologist and 8 more
3900 Woodland Ave
Philadelphia
, Pennsylvania 19104-4551
Dr. Kenneth Sullivan
Psychologist Health Service Family Psychologist Clinical Psychologist and 8 more
3900 Woodland Ave
Philadelphia
, Pennsylvania 19104-4551
(610) 527-0870
Write a Review Share Save Call
About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Counseling Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Health Service
- Intellectual & Developmental Disabilities
- Group Psychotherapist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kenneth Sullivan
- 608 Heather Ln
- Bryn Mawr, PA
- Zip : 19010-2020
- Phone : (610) 527-0870
Second Address
- Dr. Kenneth Sullivan
- 3900 Woodland Ave
- Philadelphia, PA
- Zip : 19104-4551
- Phone : (215) 823-5800
Reviews
FAQs
Where did Dr. Kenneth Sullivan attend graduate school?
Where did Dr. Kenneth Sullivan do his residency?
Where did Dr. Kenneth Sullivan do his fellowship?
Is Dr. Kenneth Sullivan board certified?
In what state does Dr. Kenneth Sullivan practice in?
Where is Dr. Kenneth Sullivan ’s practice located?
What is Dr. Kenneth Sullivan ’s gender?
Is Dr. Kenneth Sullivan a sole practitioner?
Is Dr. Kenneth Sullivan accepting new patients?
What languages does Dr. Kenneth Sullivan speak?
Does Dr. Kenneth Sullivan accept insurance?
Does Dr. Kenneth Sullivan offers telemedicine?
What is Dr. Kenneth Sullivan ’s professional license number?
What is Dr. Kenneth Sullivan ’s NPI number?
Does Dr. Kenneth Sullivan have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PS002765L | PA |
| N | 103T00000X | Psychologist | PS002765L | PA |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PS002765L | PA |
| N | 103TA0700X | Adult Development & Aging Psychologist | PS002765L | PA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PS002765L | PA |
| N | 103G00000X | Clinical Psychologist | PS002765L | PA |
| N | 103TC0700X | Clinical Psychologist | PS002765L | PA |
| N | 103TC1900X | Counseling Psychologist | PS002765L | PA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS002765L | PA |
| N | 103TF0000X | Family Psychologist | PS002765L | PA |
| N | 103TH0100X | Health Service | PS002765L | PA |
| N | 103TM1800X | Intellectual & Developmental Disabilities | PS002765L | PA |
| N | 103TP2701X | Group Psychotherapist | PS002765L | PA |
| N | 103TR0400X | Rehabilitation Psychologist | PS002765L | PA |
National Provider Identifier
| NPI | 1245345222 |
|---|---|
| Provider Name | Dr. Kenneth Sullivan |
| First Address | Bryn Mawr, PA 19010-2020 |
| Second Address | Philadelphia, PA 19104-4551 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.