National Provider Identifier
Wendy L Sullivan, M.S.CCC-SLP
Wendy L Sullivan, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 966-3880.
Profile Overview
- NPI
- 1669770988
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- March 10, 2011
- Last Updated
- January 17, 2013
Practice Location
- 800 Tait Ave
- Rochester, NY 14616-2309
Phone: (585) 966-3880
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1669770988
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Wendy
- Middle Name
- L
- Name Prefix
- Mrs.
- Credential
- M.S.CCC-SLP
- Provider Other Last Name
- Sullivan
- Provider Other First Name
- Wendy
- Provider Other Middle Name
- Lea Mary
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- M.S.CCC-SLP
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 800 Tait Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-2309
- Mailing Country
- US
- Mailing Phone
- (585) 966-3880
- Mailing Fax
- (585) 966-3839
- Practice Street Address
- 800 Tait Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-2309
- Practice Country
- US
- Practice Phone
- (585) 966-3880
- Practice Fax
- (585) 966-3839
- Enumeration Date
- March 10, 2011
- Last Updated
- January 17, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)