Kelsey Sullivan, CCC-SLP
NPI #1346506789 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1346506789
- Entity Type
- Individual
- Name
- Kelsey Sullivan, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Apr 10, 2012
- Last Updated
- May 2, 2022
Practice Location
- Address
- 200 S STATION RD
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-2777
- Phone
- (618) 288-5014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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