IndividualActive
Daniel Sullivan, PHD
NPI 1508265976 · Clinical Neuropsychologist · Saint Louis, MO
Provider details
- NPI number
- 1508265976
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 2025009596 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-4683
Approximate (ZIP-level) locationGet directions
Mailing address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Registry dates
- Enumerated
- 2014-08-21
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.