Most Relevant Information
Provider Data
| NPI Number: | 1003241613 |
| Provider Name: | COLLEEN BLAIR SULLIVAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2013 |
| Last Updated: | 09/13/2013 |
Provider Practice Location
9706 4TH AVE NE STE 303
NORTHGATE
SEATTLE
WA
981152199
Practice Location Phone/Fax
| Phone: | 2063022900 |
| Fax: | 2063022210 |
Provider Mailing Location
1600 E OLIVE ST
SOUND MENTAL HEALTH
SEATTLE
WA
981222735
Provider Mailing Phone/Fax
| Phone: | 2063022200 |
| Fax: | 2063022210 |