Individual provider · Type 1 NPI
Kendra Sullivan
Speech-Language Assistant · Weatherford, TX
NPI number
1609311869
Active
Practice location
1670 Holland Lake Dr, Apt 6106
Weatherford, TX 76086-6451
Fax (877) 309-9749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 35933 (TX) |
Speech-Language Assistant: Definition to come...
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About NPI 1609311869
Kendra Sullivan's National Provider Identifier is 1609311869, issued on Dec 27, 2016. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Weatherford, TX. The record was last updated on Mar 28, 2017.