Miranda Sullivan, MS, CCC-SLP
NPI #1124600697 in Eagle, Idaho
Provider Information
- NPI Number
- 1124600697
- Entity Type
- Individual
- Name
- Miranda Sullivan, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Apr 24, 2021
- Last Updated
- Apr 24, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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