Individual provider · Type 1 NPI

Sara Lynn Sullivan

Speech-Language Pathologist · Fort Wayne, IN

NPI number 1902404023 Active

Practice location

5511 Coventry Ln
Fort Wayne, IN 46804-7144

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Other practice locations

  • 3320 N Clinton St, Fort Wayne, IN 46805-1918 · (260) 483-2100

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X22004287A (IN)

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 1902404023

Sara Lynn Sullivan's National Provider Identifier is 1902404023, issued on Oct 12, 2020. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 22, 2025.