Kelly Sullivan, MS, CCC/SLP

NPI #1780975847 in Ft Worth, Texas

Provider Information

NPI Number
1780975847
Entity Type
Individual
Name
Kelly Sullivan, MS, CCC/SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC/SLP
Enumeration Date
Apr 25, 2011
Last Updated
Apr 25, 2011

Practice Location

Address
1400 8TH AVE
Address 2
CARTER REHABILITATION & FITNESS CENTER
State
Texas
ZIP Code
76104-4110
Phone
(817) 922-2502

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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