Doctor Name: | MRS. CHERIE SULLIVAN |
NPI Number: | 1013041276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SA 995 |
Business Practice Address: | 927 Grace Ave Panama City, FL - 324012521 |
Business Phone Number: | 8507695371 |
Business Fax Number: | 8508729558 |
Mailing Address: | 927 Grace Ave, PANAMA CITY |
State: | FL |
Postal Code: | 324012521 |
Phone Number: | 8507695371 |
Fax Number: | 8508729558 |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |