Jessica Sullivan, CCC-SLP

NPI #1710120308 in Decatur, Illinois

Provider Information

NPI Number
1710120308
Entity Type
Individual
Name
Jessica Sullivan, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SLP
Enumeration Date
Apr 12, 2009
Last Updated
May 9, 2022

Practice Location

Address
2300 N EDWARD ST
ZIP Code
62526-4192
Phone
(217) 876-2680

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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