Organization Name: | SULLIVAN SPEECH LANGUAGE ASSOCIATES |
NPI Number: | 1265559082 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH M. SULLIVAN (OWNER) |
Mailing Address: | 720 Stoneridge Dr Suite 2 Bozeman |
State: | MT US |
Postal Code: | 597187032 |
Phone Number: | 4065569853 |
Fax Number: | |
NPI Enumeration Date: | 03/25/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |