National Provider Identifier
Kayla Danielle Sullivan, M.S., CCC-SLP
Kayla Danielle Sullivan, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in South Dayton, NY and a listed phone number of (716) 988-3291.
Profile Overview
- NPI
- 1164902490
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 16, 2018
- Last Updated
- August 16, 2018
Practice Location
- 7755 Route 83
- South Dayton, NY 14138-9633
Phone: (716) 988-3291
Mailing Address
- 71 Cleveland Ave
- Fredonia, NY 14063-1954
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1164902490
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Kayla
- Middle Name
- Danielle
- Name Prefix
- Miss
- Credential
- M.S., CCC-SLP
- Mailing Street Address
- 71 Cleveland Ave
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1954
- Mailing Country
- US
- Mailing Phone
- (716) 785-9112
- Practice Street Address
- 7755 Route 83
- Practice City
- South Dayton
- Practice State
- NY
- Practice ZIP Code
- 14138-9633
- Practice Country
- US
- Practice Phone
- (716) 988-3291
- Enumeration Date
- August 16, 2018
- Last Updated
- August 16, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)