National Provider Identifier
Michelle K Sullivan, M.S.CCC-SLP
Michelle K Sullivan, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Jasper, NY and a listed phone number of (607) 792-3675.
Profile Overview
- NPI
- 1023120730
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 31, 2006
- Last Updated
- March 24, 2016
Practice Location
- 3769 Ny-417
- Jasper, NY 14855
Phone: (607) 792-3675
Mailing Address
- 347 S Division St
- Hornell, NY 14843-2135
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1023120730
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Michelle
- Middle Name
- K
- Name Prefix
- Mrs.
- Credential
- M.S.CCC-SLP
- Mailing Street Address
- 347 S Division St
- Mailing City
- Hornell
- Mailing State
- NY
- Mailing ZIP Code
- 14843-2135
- Mailing Country
- US
- Mailing Phone
- (607) 654-0062
- Practice Street Address
- 3769 Ny-417
- Practice City
- Jasper
- Practice State
- NY
- Practice ZIP Code
- 14855
- Practice Country
- US
- Practice Phone
- (607) 792-3675
- Enumeration Date
- August 31, 2006
- Last Updated
- March 24, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 8911096 00 (FL)