Individual provider · Type 1 NPI

Kelly Sullivan, MS, CCC/SLP

Speech-Language Pathologist · Fort Worth, TX

NPI number 1780975847 Active

Practice location

1400 8th Ave, Carter Rehabilitation & Fitness Center
Fort Worth, TX 76104-4110

Fax (817) 922-7733

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X101055 (TX)

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 1780975847

Kelly Sullivan, MS, CCC/SLP's National Provider Identifier is 1780975847, issued on Apr 25, 2011. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 25, 2011.