Kathleen Edith Sullivan, CCC-SP

NPI #1194871491 in Nesconset, New York

Provider Information

NPI Number
1194871491
Entity Type
Individual
Name
Kathleen Edith Sullivan, CCC-SP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SP
Enumeration Date
Jan 27, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6 GEMINI LN
ZIP Code
11767-1708
Phone
(631) 265-0953

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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