Individual provider · Type 1 NPI

Jessica Sullivan, CCC-SLP

Speech-Language Pathologist · Decatur, IL

NPI number 1710120308 Active

Practice location

2300 N Edward St
Decatur, IL 62526-4192

Call (217) 876-2680 Map

Fax (217) 876-2630

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X2949 (KS)
Speech-Language Pathologist 235Z00000X2008023621 (MO)
Speech-Language Pathologist Primary 235Z00000X146.015000 (IL)

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 1710120308

Jessica Sullivan, CCC-SLP's National Provider Identifier is 1710120308, issued on Apr 12, 2009. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Decatur, IL. The record was last updated on May 9, 2022.