Provider Demographics
NPI:1326018102
Name:FINK-SULLIVAN, JULIE G (PSY D)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:G
Last Name:FINK-SULLIVAN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:G
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 FRANKLIN SQ
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2141
Mailing Address - Country:US
Mailing Address - Phone:518-583-0963
Mailing Address - Fax:518-583-0369
Practice Address - Street 1:4 FRANKLIN SQ
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2141
Practice Address - Country:US
Practice Address - Phone:518-583-0963
Practice Address - Fax:518-583-0369
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010137103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist