Individual provider · Type 1 NPI

Michelle Sullivan, CCC-SLP

Speech-Language Pathologist · Modesto, CA

NPI number 1124664461 Active

Practice location

4715 Yosemite Boulevard
Modesto, CA 95357

Mailing address

5600 Wilkins Ave
Oakdale, CA 95361-7752

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X18889 (CA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1124664461

Michelle Sullivan, CCC-SLP's National Provider Identifier is 1124664461, issued on Nov 21, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Modesto, CA. The record was last updated on Nov 21, 2019.