Mrs Jaclyn Joann Sullivan, MA, LMFT in Amityville, NY - Marriage & Family Therapist

Mrs Jaclyn Joann Sullivan, MA, LMFT is a Marriage & Family Therapist based in Amityville, New York. Mrs Jaclyn Joann Sullivan is licensed to practice in * (Not Available) (license number ) and her current practice location is 191 Broadway, Amityville, New York. She can be reached at her office (for appointments etc.) via phone at (516) 662-1158.

NPI number for Mrs Jaclyn Joann Sullivan is 1285985325 and her current mailing address is 1024 N Hamilton Ave, Lindenhurst, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285985325.

Contact Information

	Mrs Jaclyn Joann Sullivan, MA, LMFT
	191 Broadway, Amityville, NY 11701-2790
	(516) 662-1158
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Jaclyn Joann Sullivan
Gender	Female
Speciality	Marriage & Family Therapist
Location	191 Broadway, Amityville, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1285985325
Provider Enumeration Date: 09/28/2012
Last Update Date: 07/16/2015

Medical Identifiers

Medical identifiers for Mrs Jaclyn Joann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285985325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jaclyn Joann Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jaclyn Joann Sullivan, MA, LMFT 1024 N Hamilton Ave, Lindenhurst, NY 11757-2129 Ph: (516) 662-1158	Mrs Jaclyn Joann Sullivan, MA, LMFT 191 Broadway, Amityville, NY 11701-2790 Ph: (516) 662-1158

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Mrs Jaclyn Joann Sullivan, MA, LMFT - Couples Therapy in Amityville, NY