Doctor Name: | SHANLEIGH FRANCES SULLIVAN |
NPI Number: | 1295167567 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SI 60391688 |
Business Practice Address: | 35535 6th Ave Sw Federal Way, WA - 980238110 |
Business Phone Number: | 2538745445 |
Business Fax Number: | 2538740687 |
Mailing Address: | Po Box 24269, FEDERAL WAY |
State: | WA |
Postal Code: | 980931269 |
Phone Number: | 2538745445 |
Fax Number: | 2538740687 |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SI 60391688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |