Jacqueline P Sullivan, M.A.,CCC/SLP
NPI #1033390653 in Winter Park, Florida
Provider Information
- NPI Number
- 1033390653
- Entity Type
- Individual
- Name
- Jacqueline P Sullivan, M.A.,CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A.,CCC/SLP
- Enumeration Date
- Nov 26, 2007
- Last Updated
- Nov 26, 2007
Practice Location
- Address
- 1400 S ORLANDO AVE
- City
- Winter Park
- State
- Florida
- ZIP Code
- 32789-5543
- Phone
- (407) 257-0625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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