National Provider Identifier

Amy Lynn Sullivan

Amy Lynn Sullivan is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Geneseo, NY and a listed phone number of (585) 243-3450.

NPI 1801328596Geneseo, NYSpeech-Language Pathologist

Profile Overview

NPI
1801328596
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
March 31, 2017
Last Updated
March 31, 2017

Practice Location

  • 4050 Avon RD
  • Geneseo, NY 14454-9721

Phone: (585) 243-3450

Mailing Address

  • 1870 Factors Walk
  • Ionia, NY 14475-9721

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1801328596
Entity Type
Individual
Last Name
Sullivan
First Name
Amy
Middle Name
Lynn
Name Prefix
Mrs.
Mailing Street Address
1870 Factors Walk
Mailing City
Ionia
Mailing State
NY
Mailing ZIP Code
14475-9721
Mailing Country
US
Mailing Phone
(585) 424-0813
Practice Street Address
4050 Avon RD
Practice City
Geneseo
Practice State
NY
Practice ZIP Code
14454-9721
Practice Country
US
Practice Phone
(585) 243-3450
Enumeration Date
March 31, 2017
Last Updated
March 31, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)