Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bryce Frederick Sullivan, PHD

Individual provider Clinical Psychologist · NPI 1093886236

Dr. Bryce Frederick Sullivan, PHD is a Clinical Psychologist in Edwardsville, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

910 N Main St
Edwardsville, IL 62025-1116
Phone: (618) 659-8787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2000159809 (MO)

Record details

NPI number1093886236
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address516 N Kansas St, Edwardsville, IL 62025-1137

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